Individual
LIDIYA MAKSYMYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2880 OLD ALABAMA RD, JOHNS CREEK, GA 30022-5031
(470) 299-3859
Mailing address
2880 OLD ALABAMA RD, JOHNS CREEK, GA 30022-5031
(470) 299-3859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN192447
GA
Other
Enumeration date
06/23/2019
Last updated
04/09/2024
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