Individual
MRS. MAYA ACHARYA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 OLDE TOWNE PKWY, STE 150A, MARIETTA, GA 30068-4357
(770) 509-1025
(770) 509-1884
Mailing address
4800 OLDE TOWNE PKWY, STE 150A, MARIETTA, GA 30068-4357
(770) 509-1025
(770) 509-1884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005433
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450303939A
—
GA
Enumeration date
08/13/2008
Last updated
04/20/2017
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