Individual provider · NPI-1

Janice Varkey Abraham, CAA

Anesthesiologist Assistant · Atlanta, GA

NPI number1508389933
StatusActive
Last updated in NPPESOct 5, 2022

Details

NPI
1508389933
Entity type
Individual (NPI-1)
Name
Janice Varkey Abraham
Credential
CAA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2017
Certification date
Oct 5, 2022
Last updated
Oct 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant––Yes

Practice location

80 Jesse Hill Dr Se
Atlanta, GA 30303

Phone 404-616-1000

Mailing address

611 Catamount Way Sw
Lilburn, GA 30047-8952

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