Individual
DR. GENA MARIE MASTROGIANAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3595 CANTON RD STE 116-289, MARIETTA, GA 30066-2658
(404) 558-4124
Mailing address
3595 CANTON RD STE 116-289, MARIETTA, GA 30066-2658
(404) 807-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74488
GA
Other
Enumeration date
03/19/2012
Last updated
02/25/2022
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