Justin M Fender (NPI# 1164772372, PAC ID# 3678724044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164772372 |
| PAC ID by PECOS | 3678724044 |
| Professional Enrollment ID | I20121112000415 |
| Full Name | Justin M Fender |
| Organization Legal Name | D CONRAD HARPER MD LLC |
| Address |
102 Bowens Mill Rd Douglas GA 31533-2250 |
| Phone Number | 9123844000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618959594 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Nw Bowens Mill Rd, Douglas, GA 31533-2252 | 9123844000 | D CONRAD HARPER MD LLC |
| 102 Bowens Mill Rd, Douglas, GA 31533-2250 | 9123844000 | D CONRAD HARPER MD LLC |
| Organization Legal Name | D CONRAD HARPER MD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mallory L O'brien | Nurse Practitioner | D Conrad Harper Md LLC | 102 Bowens Mill Rd, Douglas, GA 31533-2250 |
| Street Address |
102 BOWENS MILL RD |
| City | DOUGLAS |
| State | GA |
| Zip | 31533-2250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mallory L O'brien | Nurse Practitioner | D Conrad Harper Md LLC | 102 Bowens Mill Rd, Douglas, GA 31533-2250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Randall Sheffield | Chiropractic | 410 Ward E St, Douglas, GA 31533-0001 | |
| Heather Cason Carver | Registered Dietitian Or Nutrition Professional | 204 Gaskin Ave N, Douglas, GA 31533-0400 | |
| Thaihang Nguyen | Family Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Stephen R Miller | Physical Therapy | 1150 W Ward St Extension, Suite B1, Douglas, GA 31533-1902 | |
| Chester Theo Royals Jr. | General Surgery | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Joel W Ferree | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Alfred W Mazur | Urology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Jesse Allen Kane | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Kimberly E Lott | Physician Assistant | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Amanda Bice | Nurse Practitioner | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
| Find all physicians in zip 31533 | |||
| City | DOUGLAS |
| Zip Code | 31533 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DOUGLAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Justin M Fender.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.