Individual
MARYANNE F AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2142 W BROAD ST BLDG 100 STE 200, ATHENS, GA 30606-3509
(706) 548-6881
(706) 546-0821
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11431
GA
Other
Enumeration date
11/07/2022
Last updated
01/15/2024
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