Organization · Type 2 NPI
Fusion Direct Medical and Wellness
Family Nurse Practitioner · Stockbridge, GA
NPI number
1265194484
Active
Practice location
233 Clarkdell Dr
Stockbridge, GA 30281-5956
Mailing address
PO Box 551
Ellenwood, GA 30294-0551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1265194484
Fusion Direct Medical and Wellness's National Provider Identifier is 1265194484, issued on Oct 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 6, 2021.