Ojiaje Tiffany Ehimen
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1730763582
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1730763582
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ojiaje Tiffany Ehimen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2021
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11416 | GA | Yes |
| 363A00000X | Physician Assistant | – | GA |
Practice location
1046 Ridge Ave SwAtlanta, GA 30315-1640
Phone 404-688-1350
Mailing address
5075 Huntcrest Dr SwMableton, GA 30126-2061
Phone 404-671-6420
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