MARY C EWING PAAA
Nursing Yellow Pages
Atlanta, Georgia
Provider NPI: 1669469219
Provider Information:MARY C EWING PAAA
Practice Location:
1000 JOHNSON FERRY RD NE ATLANTA, GA 30342 US
Tel: 770-645-9181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 4148 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
910018125C | GA | 05 | |
910018125B | GA | 05 | |
910018125A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin