Fitzgerald, Julie Ann

Fitzgerald, Julie Ann is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Fitzgerald, Julie Ann can be contacted via phone (912) 535-5053.

Contact Information

Primary practice address
1 Meadows Pkwy Vidalia GA 30474-8759
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301080307 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 84379 Georgia

Profile Details

NPI number 1487748919
LBN Legal business name Fitzgerald, Julie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 1st, 2021 - about 5 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 1487748919 NPPES
Georgia Other 84379 STATE LICENSE

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