NPI 1174904106 · live from the CMS NPI Registry
Natalia Abazeri, PA-C
Physician Assistant, Medical in Stockbridge, GA. National Provider Identifier 1174904106, active.
NPI record
| NPI | 1174904106 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1050 Eagles Landing Pkwy Ste 302, Stockbridge, GA 30281 |
| Practice phone | 770-507-0070 |
| Mailing address | 285 Boulevard Ne Ste 610, Atlanta, GA 30312 |
| Enumerated | June 16, 2015 |
| Last updated | July 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 7592 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.