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Individual

DR. MARIA BOUGIAMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
Mailing address
336 BUCH AVE, LANCASTER, PA 17601-2957
(717) 405-9854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN268890
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN268890
GA

Other

Enumeration date
07/12/2017
Last updated
10/05/2017
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