MRS. ALISON LEIGH OSBORN FUGARO PA NPI 1841253903

NPI Information

NPI: 1841253903
Provider Name: MRS. ALISON LEIGH OSBORN FUGARO, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1700 HOSPITAL SOUTH DR
SUITE 300
AUSTELL, GA
ZIP 30106
Phone: (770) 944-2830
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MRS. Alison Leigh Osborn Fugaro, PA is a medical physician assistant in Austell, GA. MRS. Alison Leigh Osborn Fugaro, PA NPI is 1841253903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1700 HOSPITAL SOUTH DR
SUITE 300
AUSTELL, GA
ZIP 30106-810
Phone: (770) 944-2830
Fax: (678) 581-7170

The enumeration date for this NPI number is 4/10/2006 and was last updated on 5/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	004762	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	690269967B	MEDICAID	GEORGIA
2	690269967C	MEDICAID	GEORGIA
3	Q68390	MEDICARE UPIN	GEORGIA
4	97WCHNH	MEDICARE PIN	GEORGIA
5	690269967A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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