Fugaro, Alison Leigh Osborn

Fugaro, Alison Leigh Osborn is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 300, Austell GA 30106-6810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fugaro, Alison Leigh Osborn can be contacted via phone (770) 944-2830.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 300 Austell GA 30106-6810
Fax: (678) 581-7170
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004762 Georgia

Profile Details

NPI number 1841253903
LBN Legal business name Fugaro, Alison Leigh Osborn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 15th, 2014 - about 12 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 1841253903 NPPES
Georgia MEDICAID 690269967C
Georgia MEDICAID 690269967A
Georgia MEDICAID 690269967B

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