Individual
MARIBELLE VERDIALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
924 W SPRING ST, MONROE, GA 30655-1751
(770) 266-0935
(770) 266-0931
Mailing address
924 W SPRING ST, MONROE, GA 30655-1751
(770) 266-0935
(770) 266-0931
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
061871
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300137757A
—
GA
Enumeration date
02/27/2007
Last updated
09/27/2013
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