LELA FAIRCLOTH ALLEN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1104024777- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2412 N OAK ST, VALDOSTA, GA, 316022567
- Phone
- (229) 244-1400
- Fax
- (229) 244-5512
Specialties & Taxonomies
Physician Assistant
Primary License: GA #003754