Healthcare Provider Details

I. General information

NPI: 1477501286
Provider Name (Legal Business Name): DENISE ANTOINETTE STRICKLAND PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 JOHNSON FERRY RD STE 900
ATLANTA GA
30342-1626
US

IV. Provider business mailing address

980 JOHNSON FERRY RD STE 900
ATLANTA GA
30342-1626
US

V. Phone/Fax

Practice location:
  • Phone: 404-459-1900
  • Fax: 678-354-7992
Mailing address:
  • Phone: 404-459-1900
  • Fax: 678-354-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number002165
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: