TRINITY ARIELLE DURHAM

ATLANTA, GA
NPI1801411715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9856)
Additional Taxonomies363A00000X Physician Assistant
(Licence: KY  1172186)
Enumeration Date2020-06-16
Last Update Date2020-10-01
Business Address
TRINITY ARIELLE DURHAM
1364 CLIFTON RD NE
ATLANTA, GA 30322-1059
Phone number: 404-712-2000
Mailing Address
TRINITY ARIELLE DURHAM
320 CAVE RUN CIR
VERSAILLES, KY 40383-7015
Phone number: 859-338-8311