Individual
DR. MARIA IRMA ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6345 JULIAN ROAD, GAINESVILLE, GA 30506-6413
(404) 862-0838
Mailing address
6345 JULIAN ROAD, GAINESVILLE, GA 30506-6413
(404) 862-0838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 001367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340094
WELLCARE OF GEORGIA ID
GA
Enumeration date
11/16/2006
Last updated
07/09/2007
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