Individual
MAGGIE LOUISE DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
60 HIGHLAND CT, SUITE 201, ELLIJAY, GA 30540-6773
(706) 698-6400
(706) 698-6401
Mailing address
60 HIGHLAND CT, SUITE 201, ELLIJAY, GA 30540-6773
(706) 698-6400
(706) 698-6401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6643
GA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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