Individual
CARLOS MAISONET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4920 BERKELEY OAK CIR, PEACHTREE CORNERS, GA 30092-4959
(770) 900-6249
Mailing address
4920 BERKELEY OAK CIR, PEACHTREE CORNERS, GA 30092-4959
(770) 900-6249
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/26/2023
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