Fercilien, Elena Victoria

Fercilien, Elena Victoria is an individual health care provider with primary practice located at 1361 Jennings Mill Rd Ste 201 , Watkinsville GA 30677-7292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fercilien, Elena Victoria can be contacted via phone (706) 316-1908.

Contact Information

Primary practice address
1361 Jennings Mill Rd Ste 201 Watkinsville GA 30677-7292
Phone: (706) 316-1908
Fax: (706) 316-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9277 Georgia

Profile Details

NPI number 1538636592
LBN Legal business name Fercilien, Elena Victoria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2018
Last updated Oct 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538636592 NPPES
Georgia MEDICAID 00958625A

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