Individual
MARYANN N MUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
48 HILLS CREEK RD, TAYLORSVILLE, GA 30178-2051
(770) 684-8700
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
57010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200647907
—
MO
01
—
204610
BCBS
—
01
—
P00371698
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
03/10/2023
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