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OPHELIA ALICIA ABBEY NP
Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1215232491
Individual Registrant: OPHELIA ALICIA ABBEY NP
Gender: F
Not Sole Proprietor
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
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
Tel: 678-866-3596 Fax: 470-729-7016
Registration Information:
NPI: 1215232491
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics | TX | 688345 |
| Y | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | 215132 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
