| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ABIGAIL HUERTA | 1780225664 | 2021-01-10 |
Abigail Huerta is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780225664. Registration indicates Abigail Huerta is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Abigail Huerta PA |
| Practice Office Address | 301 PHILIP BLVD STE A LAWRENCEVILLE, GA US |
| Practice Office Telephone | 7708225560 |
| Practice Office Fax | 7708224989 |
| Mailing Address | 301 PHILIP BLVD STE A LAWRENCEVILLE, GA 300468746 US |
| Business Telephone | 7708225560 |
| Business Fax | 7708224989 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 00000
GA |