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Individual

MS. VERONICA A MAGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2258 WRIGHTSBORO ROAD, SUITE 250, AUGUSTA, GA 30904
(706) 724-6543
(206) 350-9023
Mailing address
2258 WRIGHTSBORO ROAD, SUITE 250, AUGUSTA, GA 30904
(706) 724-6543
(206) 350-9023

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000285
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000581567B
GA
01
10065244
AMERIGROUP ID
GA
01
312248
WELLCARE PROVIDER #
GA
Enumeration date
11/01/2006
Last updated
07/18/2015
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