Andrea Marie Maxwell
Nurse Practitioner in Carrollton, GA. Individual provider (NPI-1).
NPI number1508043191
StatusActive
Last updated in NPPESJan 25, 2008
Details
- NPI
- 1508043191
- Entity type
- Individual (NPI-1)
- Name
- Andrea Marie Maxwell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2008
- Last updated
- Jan 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN161634 | GA | Yes |
Practice location
150 Clinic AveSuite 101
Carrollton, GA 30117-4401
Phone 770-834-0873
Mailing address
150 Clinic AveSuite 101
Carrollton, GA 30117-4401
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All 36 Nurse Practitioner providers in Carrollton · All 1,319 providers in Carrollton
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