AUDREY FERNANDES


Address: 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093
Phone: 7708060162

AUDREY FERNANDES (NPI# 1457802902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457802902
Entity Type Individual
Full Name AUDREY FERNANDES
Practice Address 4846 Jimmy Carter Blvd
Suite 203
Norcross
GA 30093
Mailing Address 6211 Hickory Lane Cir
Union City
GA 30291-5506
Practice Telephone 7708060162
Mailing Telephone 6787363020
Enumeration Date 2016-10-19
Last Update Date 2020-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN015306 GA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 W St Nw, Washington, DC 200591022 2028060068

Other Providers AUDREY FERNANDES

NPI Name Taxonomy Address Enumeration
1922043330 Audrey M Fernandes Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2006-06-19

Office Location

Street Address 4846 JIMMY CARTER BLVD
SUITE 203
City NORCROSS
State GA
Zip Code 30093

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517465 Tequila Olivia Banks Counselor 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 2020-10-27
1922643485 Anthony Ervin Case Manager/Care Coordinator 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 2019-11-08
1164908885 Marianne Altares Speech-Language Pathologist 1709 Oakbrook Lake Dr, Norcross, GA 30093 2018-07-16
1518480763 Braces Now 14, LLC Dentist 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 2017-07-19
1922456318 Diana Lleras Counselor 6020 Dawson Bld Suite I, Norcross, GA 30093 2016-05-26
1376941500 Katerine Velez Counselor 6020 Dawson Blvd., Siute I, Norcross, GA 30093 2014-12-22
1679979017 Allison Ballay Donnelly Speech-Language Pathologist 1626 Jeurgens Ct., Norcross, GA 30093 2014-11-12
1588913701 Sunrise Pharmacy Pharmacy 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 2012-09-04
1821347154 Shakirah Forde Counselor 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 2012-08-31
1487953741 Avala Dental Providers Dentist 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 2011-03-24
Find all providers in zip 30093

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285242693 Georgia Dental Professionals, PC Dentist 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 2020-07-22
1528617289 Safa Shamim Dalwai Dentist 6141 Peachtree Pkwy, Norcross, GA 30092-3304 2019-09-05
1023662194 Lauren Crawford Weant Dentist 3850 Holcomb Bridge Rd Ste 200, Norcross, GA 30092-5223 2019-07-28
1184043143 Dammer Armando Salazar Dentist 1650 Oakbrook Dr Ste 440, Norcross, GA 30093-1817 2014-04-07
1265872014 To Nga Thi Dinh Dentist 1514 Glenleaf Dr, Norcross, GA 30092-6114 2013-06-26
1487953741 Avala Dental Providers Dentist 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 2011-03-24
1538318894 Hannah Lee Dentist 6185 Buford Hwy # G, Norcross, GA 30071-2350 2008-09-11
1205084944 Zina Aaron Dentist 1004 Carroll Ct, Norcross, GA 30071-5010 2008-09-07
1144481987 Norcross Dental Associates Dentist 6270 Smithpointe Dr, Norcross, GA 30092-2754 2008-06-24
1881868727 International Family Dental Center P.C. Dentist 5495 Jimmy Carter Blvd Ste A14, Norcross, GA 30093-1518 2008-04-22
Find all providers in NORCROSS

Competitor

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City NORCROSS
Zip Code 30093

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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