Whalio Doctors

NPI 1013026962

Jolene Stewart Fondrk, PAC

Practitioner Surgical Physician Assistant Columbus, GA

Practice location

Address
6262 Veterans Pkwy, Columbus, GA 31909-3540
Phone
(706) 324-6661
Fax
(706) 327-6701
Mailing address
PO Box 370, Fortson, GA 31808-0370

Registered specialties (3)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 4907 (GA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 004907 (GA)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA.499 (AL)

Registry record

NPI
1013026962
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2006
Record last updated
6 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.