Leonor-Gilrane, Marixie Q

Leonor-Gilrane, Marixie Q is an individual health care provider with primary practice located at 239 Village Center Pkwy Suite 110, Stockbridge GA 30281-9024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Leonor-Gilrane, Marixie Q can be contacted via phone (770) 506-0095.

Contact Information

Primary practice address
239 Village Center Pkwy Suite 110 Stockbridge GA 30281-9024
Fax: (770) 506-8060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 023757 Georgia

Profile Details

NPI number 1366499634
LBN Legal business name Leonor-Gilrane, Marixie Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Sep 6th, 2011 - about 15 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 1366499634 NPPES
Other 0971235 AETNA
Other 582262190 AETNA
Other 582262190 AETNA
Other 582262190 AETNA
MEDICAID 000576122D AETNA
Other 52480810 AETNA
Other 6051 AETNA
Other 10033072 AETNA
Other 582262190 AETNA
Other 6051 AETNA

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