Organization
MAXA INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEIGH MAXA (PRACTICE ADMINISTRATOR)
(678) 597-3180
Entity
Organization
Contact information
Practice address
3505 DULUTH PARK LN, BUILDING 4, STE 400, DULUTH, GA 30096-3201
(678) 597-3180
(678) 597-3181
Mailing address
3505 DULUTH PARK LN, BUILDING 4, STE 400, DULUTH, GA 30096-3201
(678) 597-3180
(678) 597-3181
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
07/19/2011
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