Individual
ABIGAIL HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Mailing address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00000
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2019
Last updated
01/10/2021
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