Andrea Marie Maxwell

NPI #1508043191 in Carrollton, Georgia

Provider Information

NPI Number
1508043191
Entity Type
Individual
Name
Andrea Marie Maxwell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 25, 2008
Last Updated
Jan 25, 2008

Practice Location

Address
150 CLINIC AVE
Address 2
SUITE 101
State
Georgia
ZIP Code
30117-4401
Phone
(770) 834-0873

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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