Individual provider · Type 1 NPI

Jolene Stewart Fondrk, PA-C

Surgical Physician Assistant · Columbus, GA

NPI number 1013026962 Active

Practice location

6262 Veterans Pkwy
Columbus, GA 31909-3540

Call (706) 324-6661 Map

Fax (706) 327-6701

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice locations

  • 512 N Shady Ln, Dothan, AL 36303-2991 · (334) 699-5747

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X004907 (GA)
Surgical Physician Assistant 363AS0400XPA.499 (AL)
Surgical Physician Assistant Primary 363AS0400X4907 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1013026962

Jolene Stewart Fondrk, PA-C's National Provider Identifier is 1013026962, issued on Aug 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbus, GA. The record was last updated on Aug 6, 2025.