Organization
AOPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDAN ANNE O'CONNOR PA-C (OWNER)
(407) 257-8663
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
(404) 296-5005
Mailing address
1460 ROCK SPRINGS CIR NE # 1-1104, ATLANTA, GA 30306-2238
(407) 257-8663
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8838
GA
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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