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MARY-ANN OBIAGELI AGHADIUNO
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1609409663
Individual Registrant: MARY-ANN OBIAGELI AGHADIUNO
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2741 STONY PLACE CT GRAYSON, GA 30017-4266 US
Tel: 404-259-6726 Fax: --
Tel: 404-259-6726 Fax: --
Contact information for business:
2741 STONY PLACE CT GRAYSON, GA 30017-4266 US
Tel: 404-259-6726 Fax: --
Tel: 404-259-6726 Fax: --
Registration Information:
NPI: 1609409663
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN212383 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
