Individual
MAYA BALABAN WERGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 CLIFTON RD NE, ATLANTA, GA 30322-1053
(404) 727-5630
Mailing address
1440 CLIFTON RD NE, ATLANTA, GA 30322-1053
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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