Individual provider · Type 1 NPI

Antonia Lanette Green-Fuqua, CRNP

General Practice Physician · Athens, AL

NPI number 1164249249 Active

Practice location

17157 Huntsville Brownsferry Rd
Athens, AL 35611-6014

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X1-100637 (AL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1164249249

Antonia Lanette Green-Fuqua, CRNP's National Provider Identifier is 1164249249, issued on Sep 20, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Athens, AL. The record was last updated on Sep 30, 2024.