DR. Sandra Diane Maryman, MD

NPI #1619035821 in Lithonia, Georgia

Provider Information

NPI Number: 1619035821
Entity Type: Individual
Name: DR. Sandra Diane Maryman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 4, 2006
Last Updated: Apr 18, 2008

Practice Location

Address: 5440 HILLANDALE DRIVE
Address 2: KAISER PERMANENTE PANOLLA MEDICINE CENTER
City: Lithonia
State: Georgia
ZIP Code: 30058
Phone: (770) 322-3216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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