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Individual

KRISTY AYCINENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
2856 WOODBRIAR DR, GAINESVILLE, GA 30506-2890
(678) 858-1980
Mailing address
PO BOX 1604, GAINESVILLE, GA 30503-1604
(678) 858-1980

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
11/01/2023
Last updated
05/15/2024
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