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1366260770
CARLY ALICIA FUQUA
CUMMING, GA
NPI
1366260770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN240849)
Enumeration Date
2024-10-03
Last Update Date
2024-10-03
Business Address
CARLY ALICIA FUQUA NP-C
2000 HOWARD FARM DR STE 450
CUMMING, GA 30041-6085
Phone number: 404-845-8200
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Mailing Address
CARLY ALICIA FUQUA NP-C
2000 HOWARD FARM DR STE 450
CUMMING, GA 30041-6085
Phone number: 404-845-8200
Copy
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