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1013570118
ERICA MARIA PENA
NORCROSS, GA
NPI
1013570118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 38817)
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
ERICA MARIA PENA PA-C
6131 S NORCROSS TUCKER RD STE 6
NORCROSS, GA 30093-5536
Phone number: 678-205-1959
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Mailing Address
ERICA MARIA PENA PA-C
679 ROXBORO CT
LAWRENCEVILLE, GA 30044-5663
Phone number: 678-353-5640
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