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Individual

MARIA D'ANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTAT

Contact information

Practice address
1741 NEWNAN CROSSING BLVD E STE G, NEWNAN, GA 30265-6601
(404) 640-8416
(678) 633-3501
Mailing address
1741 NEWNAN CROSSING BLVD E STE G, NEWNAN, GA 30265-6601
(404) 640-8416
(678) 633-3501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008136
GA

Other

Enumeration date
10/11/2016
Last updated
01/28/2019
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