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Individual

MR. AARON MICHAEL MALUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
980 JOHNSON FY RD NE, SUITE 940, ATLANTA, GA 30342-1626
(404) 851-6000
(404) 252-2736
Mailing address
1624 GREYFIELD LN, SANDY SPRINGS, GA 30350-6338
(352) 870-0823

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6892
GA
363A00000X
Physician Assistant
PA9106671
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006526500
FL
Enumeration date
08/06/2012
Last updated
09/28/2016
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