Provider Demographics
NPI:1942826334
Name:FRITZSCHE, ALLISON LINDSAY (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LINDSAY
Last Name:FRITZSCHE
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:6745 YELLOW BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-0907
Mailing Address - Country:US
Mailing Address - Phone:678-763-4649
Mailing Address - Fax:
Practice Address - Street 1:6 CONCOURSE PKWY STE 260
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-6117
Practice Address - Country:US
Practice Address - Phone:770-455-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2021-12-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant