Provider Demographics
NPI:1699865816
Name:FLUKER, JANET G (PHD, APRN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:G
Last Name:FLUKER
Suffix:
Gender:F
Credentials:PHD, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1310 13TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2335
Mailing Address - Country:US
Mailing Address - Phone:706-321-0476
Mailing Address - Fax:706-321-2508
Practice Address - Street 1:1900 10TH AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3600
Practice Address - Country:US
Practice Address - Phone:706-321-2585
Practice Address - Fax:706-321-2584
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN112396NP363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant