IndividualActive
Antonia Green-Fuqua, CRNP
NPI 1164249249 · General Practice Physician · Athens, AL
Provider details
- NPI number
- 1164249249
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-100637 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17157 Huntsville Brownsferry Rd
Athens, AL 35611-6014
Phone: (256) 348-1382
Approximate (ZIP-level) locationGet directions
Mailing address
17157 Huntsville Brownsferry Rd
Athens, AL 35611-6014
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.