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MICHELE A AGUAYO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1053375311

Individual Registrant:
 MICHELE A AGUAYO MD
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

Contact information for business:
2594 LOGANVILLE HWY  GRAYSON, GA 30017-1617 US
Tel: 678-225-4999  Fax: 678-225-5546

Registration Information:
NPI: 1053375311
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA036490

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICAREP00344045GA01




HEALTH CARE JOBS GA - Page 1



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