Maxey, Gina M
Maxey, Gina M is an individual health care provider with primary practice located at 1862 Auburn Rd , Dacula GA 30019-1676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maxey, Gina M can be contacted via phone (678) 288-4142.Contact Information
Primary practice address
1862 Auburn Rd
Dacula GA 30019-1676
Phone: (678) 288-4142
Fax: (678) 288-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 056136 | Georgia |
Profile Details
| NPI number | 1750442299 |
|---|---|
| LBN Legal business name | Maxey, Gina M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Aug 21st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750442299 | NPPES |
| Georgia | MEDICAID | 003110257A |
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