Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerrell Fang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134979263

Jerrell Fang is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 219-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134979263
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address743 Spring St Ne Ste 710, Gainesville, GA 30501-3715

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