Individual
MRS. MARIA MAGDALENA EARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
524 AKERS RIDGE DR SE, ATLANTA, GA 30339-3217
(770) 595-8851
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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