Individual
TONYA MAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
69 JESSE HILL DR, ATLANTA, GA 30335
(404) 778-4852
Mailing address
8202 WALDEN BROOK DR, LITHONIA, GA 30038-1281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
053277
GA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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