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OPHELIA ALICIA ABBEY NP

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215232491

Individual Registrant:
 OPHELIA ALICIA ABBEY NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3459 HOLCOMB BRIDGE RD SUITE 100 NORCROSS, GA 30092-3102 US
Tel: 678-866-3596  Fax: 470-729-7016

Contact information for business:
3459 HOLCOMB BRIDGE RD SUITE 100 NORCROSS, GA 30092-3102 US
Tel: 678-866-3596  Fax: 470-729-7016

Registration Information:
NPI: 1215232491
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
TX688345
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GA215132

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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