IndividualActive
Alice Fazekas, PA
NPI 1295824324 · Medical Physician Assistant · Smyrna, GA
Provider details
- NPI number
- 1295824324
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 004858 (GA)
Practice location
3903 S Cobb Dr Se
Suite 200
Smyrna, GA 30080-8504
Phone: (770) 801-4646
Fax: (770) 801-5280
Mailing address
3903 S Cobb Dr Se
Smyrna, GA 30080-8504
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2010-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.