Individual
MICHELE A AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2594 LOGANVILLE HWY, GRAYSON, GA 30017-1617
(678) 225-4999
(678) 225-5546
Mailing address
2594 LOGANVILLE HWY, GRAYSON, GA 30017-1617
(678) 225-4999
(678) 225-5546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00344045
RR MEDICARE
GA
Enumeration date
04/13/2006
Last updated
11/17/2007
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