Individual
DR. MAELYNN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
(770) 638-1411
Mailing address
655 W 8TH ST FL CENTER, CARDIOVASCULAR CENTER BOX C-35, JACKSONVILLE, FL 32209-6511
(904) 244-3932
(904) 244-3629
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
104179
GA
390200000X
Student in an Organized Health Care Education/Training Program
34942
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN34942
FL
Other
Enumeration date
03/18/2019
Last updated
05/13/2025
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