Most Relevant Information
Provider Data
NPI Number: | 1003320490 |
Provider Name: | MARIA EDNA GARCIA |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 5101 |
Most Important Dates
Enumeration Date: | 11/22/2017 |
Last Updated: | 03/17/2018 |
Provider Practice Location
4343 SHALLOWFORD RD STE C2
MARIETTA
GA
300625023
Practice Location Phone/Fax
Phone: | 4045792833 |
Fax: | 7709939800 |
Provider Mailing Location
4343 SHALLOWFORD RD STE C2
MARIETTA
GA
300625023
Provider Mailing Phone/Fax
Phone: | |
Fax: |