Individual
MARIO A AGUINAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-DNP
Contact information
Practice address
199 PRINCE AVE, ATHENS, GA 30601-2400
(706) 475-7000
Mailing address
3581 GAINES MILL RD, GAINESVILLE, GA 30507-8073
(678) 629-1626
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN269637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN269637
GEORGIA BOARD OF NURSING
GA
Enumeration date
06/26/2022
Last updated
06/26/2022
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