Axelrod, Maria G.

Axelrod, Maria G. is an sole proprietor health care provider with primary practice located at 3745 Cherokee St Nw , Kennesaw GA 30144-6733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Axelrod, Maria G. can be contacted via phone (770) 429-1005.

Contact Information

Primary practice address
3745 Cherokee St Nw Kennesaw GA 30144-6733
Phone: (770) 429-1005
Fax: (770) 429-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 059367 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229898 New York

Profile Details

NPI number 1558368845
LBN Legal business name Axelrod, Maria G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Jul 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558368845 NPPES
New York MEDICAID 1167817

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