Trent-Johnney, Ambrozine Ophelia

Trent-Johnney, Ambrozine Ophelia is an individual health care provider with primary practice located at 5910 Hillandale Dr Suite 301, Lithonia GA 30058-1884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Trent-Johnney, Ambrozine Ophelia can be contacted via phone (678) 418-2120.

Contact Information

Primary practice address
5910 Hillandale Dr Suite 301 Lithonia GA 30058-1884
Phone: (678) 418-2120
Fax: (678) 418-2936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004798 Georgia

Profile Details

NPI number 1932243136
LBN Legal business name Trent-Johnney, Ambrozine Ophelia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932243136 NPPES
Georgia Other 004798 STATE LICENSE

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