Individual
SHANY ALEXANDRA FREUND MARAVANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501-3806
(770) 219-0023
(770) 219-0694
Mailing address
PO BOX 1060, OAKWOOD, GA 30566-0018
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104026
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2022
Last updated
07/22/2025
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