Individual
MAX RICARDO ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1525 CLIFTON RD NE, ATLANTA, GA 30322-4200
(404) 727-7551
Mailing address
453 GREG DR SW, LILBURN, GA 30047-5207
(678) 571-4114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN225205
GA
Other
Enumeration date
03/31/2023
Last updated
04/03/2023
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