Most Relevant Information
Provider Data
| NPI Number: | 1003366303 |
| Provider Name: | MARIA D'ANGELO PHYSICIAN ASSISTAT |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 008136 |
Most Important Dates
| Enumeration Date: | 10/11/2016 |
| Last Updated: | 01/28/2019 |
Provider Practice Location
1741 NEWNAN CROSSING BLVD E STE G
NEWNAN
GA
302656601
Practice Location Phone/Fax
| Phone: | 4046408416 |
| Fax: | 6786333501 |
Provider Mailing Location
1741 NEWNAN CROSSING BLVD E STE G
NEWNAN
GA
302656601
Provider Mailing Phone/Fax
| Phone: | 4046408416 |
| Fax: | 6786333501 |