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Individual

MISS TEYAIJAH GIVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1254
Mailing address
PO BOX 275, SOPERTON, GA 30457-0275
(478) 331-4603

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11357
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2021
Last updated
07/29/2025
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