Individual
MR. TONY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 HOWELL MILL RD NW, ATLANTA, GA 30318-6285
(949) 415-8271
Mailing address
1115 SPRINGWOOD CONNECTOR UNIT 210, ATLANTA, GA 30328-5882
(949) 415-8271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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