Individual
MAXWELL BAUGUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 WISTERIA DR STE A, SNELLVILLE, GA 30078-2689
(770) 985-9330
Mailing address
2400 WISTERIA DR STE A, SNELLVILLE, GA 30078-2689
(770) 985-9330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11827
GA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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