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Individual

MS. OJIAJE TIFFANY EHIMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Mailing address
5075 HUNTCREST DR SW, MABLETON, GA 30126-2061
(404) 671-6420

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11416
GA
363A00000X
Physician Assistant
GA

Other

Enumeration date
05/07/2021
Last updated
03/14/2024
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