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Individual
MRS. MARIA S. GADDY
Active
Individual
MRS. MARIA S. GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN076804
GA
363LF0000X
Family Nurse Practitioner
RN076804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168013E
—
GA
05
—
003168013F
—
GA
01
—
2025I00529
MEDICARE PTAN
GA
Enumeration date
09/24/2015
Last updated
08/20/2020
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