Individual
MS. EMMA MARINO PONTALTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 LYNHURST LN, SNELLVILLE, GA 30078-2067
(770) 597-6612
Mailing address
1048 LYNHURST LN, SNELLVILLE, GA 30078-2067
(770) 597-6612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11952
GA
Other
Enumeration date
05/08/2023
Last updated
10/08/2023
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