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MICHELE A AGUAYO MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1053375311
Individual Registrant: MICHELE A AGUAYO MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2594 LOGANVILLE HWY GRAYSON, GA 30017-1617 US
Tel: 678-225-4999 Fax: 678-225-5546
Tel: 678-225-4999 Fax: 678-225-5546
Contact information for business:
2594 LOGANVILLE HWY GRAYSON, GA 30017-1617 US
Tel: 678-225-4999 Fax: 678-225-5546
Tel: 678-225-4999 Fax: 678-225-5546
Registration Information:
NPI: 1053375311
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 036490 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RR MEDICARE | P00344045 | GA | 01 |
