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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 1-100637 (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.
Other general practice physician providers in Athens
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.