Individual
MAUREEN HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
4575 N SHALLOWFORD RD, ATLANTA, GA 30338-6445
(770) 454-4065
(770) 454-4065
Mailing address
4556 GRAYWOOD TRCE, NORCROSS, GA 30092-1026
(404) 437-6880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA-824
AL
367H00000X
Anesthesiologist Assistant
Primary
5000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051524986
—
AL
Enumeration date
09/23/2005
Last updated
03/09/2026
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