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Ambrozine Ophelia Trent-Johnney, PA-C

Physician Assistant in Lithonia, GA. Individual provider (NPI-1).

NPI number1932243136
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1932243136
Entity type
Individual (NPI-1)
Name
Ambrozine Ophelia Trent-Johnney
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant004798GAYes

Practice location

5910 Hillandale Dr
Suite 301
Lithonia, GA 30058-1884

Phone 678-418-2120 · Fax 678-418-2936

Mailing address

5910 Hillandale Dr
Suite 301
Lithonia, GA 30058-1884

Phone 678-418-2120 · Fax 678-418-2936

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