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Mary E Maxwell, PA

Physician Assistant, Medical in Carrollton, GA. Individual provider (NPI-1).

NPI number1952829178
StatusActive
Last updated in NPPESSep 8, 2017

Details

NPI
1952829178
Entity type
Individual (NPI-1)
Name
Mary E Maxwell
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2017
Last updated
Sep 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical–GAYes

Practice location

165 Clinic Ave
Carrollton, GA 30117-4413

Phone 770-836-9824 · Fax 770-836-9850

Mailing address

119 Ambulance Dr Ste 202
Carrollton, GA 30117-3857

Phone 770-838-8710 · Fax 770-838-8563

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Other Medical Physician Assistant providers in Carrollton, GA

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