Provider Demographics
NPI:1902988157
Name:ABIDE, AIMEE MARGARET (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:MARGARET
Last Name:ABIDE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34 JOHNSON FERRY PKWY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-4311
Mailing Address - Country:US
Mailing Address - Phone:404-851-1323
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE STREET
Practice Address - Street 2:6TH FLOOR MOT
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2225
Practice Address - Country:US
Practice Address - Phone:404-686-2513
Practice Address - Fax:404-686-4959
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003434363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant