NIJJA FLENTALL

BRASELTON, GA
NPI1851905442
Former NameNIJJA VARGAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9977)
Enumeration Date2020-09-01
Last Update Date2023-07-25
Business Address
NIJJA FLENTALL PA
1400 RIVER PL
BRASELTON, GA 30517-5600
Phone number: 770-848-7160
Mailing Address
NIJJA FLENTALL PA
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420