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NPI Code Detail

MEDICARE: DR. OPHELIA ALICIA ABBEY DNP

MEDICARE: DR. OPHELIA ALICIA ABBEY DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner688345TX
2363LP0200XPediatric Nurse Practitioner215132GA

General Provider Information

NPI Number : 1215232491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OPHELIA ALICIA ABBEY DNP
Provider Business Mailing Address
First Line : 5887 GLENRIDGE DR STE 230
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-9929
Country : US
Telephone Number : 470-210-8179
Fax Number : 470-729-7016
Provider Business Practice Location Address
First Line : 5887 GLENRIDGE DR STE 230
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-9929
Country : US
Telephone Number : 470-210-8179
Fax Number : 470-729-7016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2011
Last Update Date : 06/02/2022

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