Individual
MARYANN JOY YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 CENTURY PKWY NE, ATLANTA, GA 30345-3125
(470) 322-1200
Mailing address
PO BOX 1903, HARVEY, LA 70059-1903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
02/20/2024
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