Provider Demographics
NPI:1942826334
Name:FRITZSCHE, ALLISON L (PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:FRITZSCHE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2301 NEWNAN CROSSING BLVD E STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2576
Mailing Address - Country:US
Mailing Address - Phone:678-633-6600
Mailing Address - Fax:678-633-6610
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:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
GA9860363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant