Individual provider · Type 1 NPI

Mary E. Maxwell, PA

Medical Physician Assistant · Carrollton, GA

NPI number 1952829178 Active

Practice location

165 Clinic Ave
Carrollton, GA 30117-4413

Call (770) 836-9824 Map

Fax (770) 836-9850

Mailing address

119 Ambulance Dr Ste 202
Carrollton, GA 30117-3857

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	None listed

Medical Physician Assistant: Definition to come...

3 other providers at this address

Anil A. Dhople, MDRadiation Oncology Physician Carrollton, GA NPI 1255534194
James Richard Bland Ii, MDRadiation Oncology Physician Carrollton, GA NPI 1700887437
Jason Chase Sanders Ii, MDRadiation Oncology Physician Carrollton, GA NPI 1023471679

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About NPI 1952829178

Mary E. Maxwell, PA's National Provider Identifier is 1952829178, issued on Sep 8, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Carrollton, GA. The record was last updated on Sep 8, 2017.