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Azely Fountain — NPI 1912738774, Valdosta, GA | NPI Central

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Azely Fountain

NPI 1912738774 · Homemaker · Valdosta, GA

Provider details

NPI number: 1912738774
Entity type: Individual
Primary specialty: HomemakerNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

HomemakerPrimary376J00000X
Nursing Service Related Providers
Home Health Aide374U00000X
Nursing Service Related Providers

Practice location

520 Brookdale Dr

Valdosta, GA 31601-3609

Phone: (229) 561-8986

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

520 Brookdale Dr

Valdosta, GA 31601-3609

Registry dates

Enumerated: 2024-08-12
Last updated: 2024-08-12
Certified: 2024-08-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.