Individual
MARIA DE FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
805 SANDY PLAINS RD, WELLSTAR MEDICAL GROUP, MARIETTA, GA 30066-6340
(770) 792-5211
Mailing address
3146 STAGLIN DR, POWDER SPRINGS, GA 30127-5079
(678) 634-9303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004588
GA
363A00000X
Physician Assistant
25MP00040500
NJ
363A00000X
Physician Assistant
MA061645
PA
363AM0700X
Medical Physician Assistant
Primary
008438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008438
NY PA LICENSE
NY
01
—
MA061645
PENNSYLVANIA PA LICENSE
PA
01
—
MP00040500
NJ PA LICENSE
NJ
Enumeration date
02/23/2012
Last updated
08/20/2025
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