Individual
TRINITY ARIELLE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
320 CAVE RUN CIR, VERSAILLES, KY 40383-7015
(859) 338-8311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1172186
KY
363A00000X
Physician Assistant
Primary
9856
GA
Other
Enumeration date
06/16/2020
Last updated
10/01/2020
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