Individual
MAISIE ANN KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 721-8623
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17594
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
03/31/2025
Last updated
05/08/2025
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