Provider Demographics
NPI:1821494352
Name:OPARA, MARY (DNP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:OPARA
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Gender:F
Credentials:DNP
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Mailing Address - Street 1:2090 LAWRENCEVILLE SUWANEE ROAD
Mailing Address - Street 2:SUITE 747
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024
Mailing Address - Country:US
Mailing Address - Phone:770-431-2354
Mailing Address - Fax:770-436-7143
Practice Address - Street 1:2090 LAWRENCEVILLE SUWANEE ROAD
Practice Address - Street 2:SUITE 747
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:678-974-0342
Practice Address - Fax:770-436-7143
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2025-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN145961364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health