Whitney Fedrick
Technician, Other in Snellville, GA. Individual provider (NPI-1).
NPI number1154908440
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1154908440
- Entity type
- Individual (NPI-1)
- Name
- Whitney Fedrick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2021
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | E9N5B4M3 | GA | Yes |
Practice location
2330 Scenic Hwy S Ste 225Snellville, GA 30078-3115
Phone 470-772-1848
Mailing address
2330 Scenic Hwy S Ste 225Snellville, GA 30078-3115
Phone 470-772-1848
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Other Technician, Other providers in Snellville, GA
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