Individual
BIBIANA ANDREA AVELLA MOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST # BI2183, AUGUSTA, GA 30912-0004
(706) 721-0180
Mailing address
207 TREMONT WAY, AUGUSTA, GA 30907-3808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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