MEDICARE: MRS. MARY OPARA 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
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	RN145961	GA

General Provider Information

NPI Number	:	1821494352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY OPARA DNP

Provider Business Mailing Address
First Line	:	2090 LAWRENCEVILLE SUWANEE ROAD
Second Line	:	SUITE 747
City	:	SUWANEE
State	:	GA
Zip	:	30024
Country	:	US
Telephone Number	:	770-431-2354
Fax Number	:	770-436-7143

Provider Business Practice Location Address
First Line	:	2090 LAWRENCEVILLE SUWANEE ROAD
Second Line	:	SUITE 747
City	:	SUWANEE
State	:	GA
Zip	:	30024
Country	:	US
Telephone Number	:	678-974-0342
Fax Number	:	770-436-7143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2014
Last Update Date	:	02/12/2025

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