Wortham, Fallon
Wortham, Fallon is an individual health care provider with primary practice located at 110 Braxton Ct , Fayetteville GA 30214-1968. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wortham, Fallon can be contacted via phone (770) 461-6422.Contact Information
Primary practice address
110 Braxton Ct
Fayetteville GA 30214-1968
Phone: (770) 461-6422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 191643 | Georgia |
Profile Details
| NPI number | 1346010899 |
|---|---|
| LBN Legal business name | Wortham, Fallon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2024 |
| Last updated | Jan 5th, 2024 - about last year |
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.
Popular Providers
-
Agbojeyin, Fatimat Olumayowa Olufunmilayo
105 Emerald Lake Ct , Fayetteville GA 30215-7748 -
Williams, Mandee
805 Lanier Ave E , Fayetteville GA 30214-2204 -
Alexander, Carla Ann
110 Braxton Ct , Fayetteville GA 30214-1968 -
Otubaga, Omolola
101 Beckett Ln Ste. 304, Fayetteville GA 30214-7155 -
Pavlick, Sherryl D
575 Coal Valley Rd Ste 407, Clairton PA 15025-3726 -
Brown, Rebekah
110 Braxton Ct , Fayetteville GA 30214-1968 -
Mitchell, Stacey Lasandra
1255 Highway 54 W , Fayetteville GA 30214-4526 -
Burwell, Robyn R.
1719 Highway 183 , Phillipsburg KS 67661