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ERICA MARIA PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6131 S NORCROSS TUCKER RD STE 6, NORCROSS, GA 30093-5536
(678) 205-1959
Mailing address
679 ROXBORO CT, LAWRENCEVILLE, GA 30044-5663
(678) 353-5640

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
38817
GA

Other

Enumeration date
04/16/2019
Last updated
04/16/2019
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