FALLON WORTHAM

FAYETTEVILLE, GA
NPI1346010899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  191643)
Enumeration Date2024-01-05
Last Update Date2024-01-05
Business Address
FALLON WORTHAM
110 BRAXTON CT
FAYETTEVILLE, GA 30214-1968
Phone number: 770-461-6422
Mailing Address
FALLON WORTHAM
9 PINE GROVE CIR
NEWNAN, GA 30263-2897
Phone number: 678-516-1160
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