Search › Georgia › 363AM0700X
Elena Fercilien, PA-C
NPI 1538636592 · on the registry since 2018
Practice
- Address
- 1361 Jennings Mill Rd Ste 201
Watkinsville, GA 30677 - Phone
- (706) 316-1908
- Fax
- (706) 316-2062
- Organisation at this address
- Georgia Trd Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 3 Richland Medical Park Dr Ste 310, Columbia, SC
- 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA
- 74 Polo Rd, Columbia, SC
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia