Individual
DR. VAIBHAV MAURYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W PEACHTREE ST NW, SUITE 1106, ATLANTA, GA 30308-3546
(706) 951-4178
Mailing address
400 W PEACHTREE ST NW, SUITE 1106, ATLANTA, GA 30308-3546
(706) 951-4178
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
062863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062863
GEORGIA COMPOSITE MEDICAL BOARD PHYSICIAN LICENSE
GA
Enumeration date
04/02/2007
Last updated
11/11/2009
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