Individual
DR. MARIYA CISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 DAWSON COMMONS CIR STE 310, DAWSONVILLE, GA 30534-6268
(706) 216-2345
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
82375
GA
Other
Enumeration date
04/29/2016
Last updated
06/23/2023
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