Individual
ELLEN LOUISE MAFFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4688 SAVAGE HILLS DR, MACON, GA 31210-2324
(478) 718-1844
Mailing address
4688 SAVAGE HILLS DR, MACON, GA 31210-2324
(478) 718-1844
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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