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1164796009
MARIA DE FREITAS
MARIETTA, GA
NPI
1164796009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004588)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
-- MARIA DE FREITAS PA-C
805 SANDY PLAINS RD WELLSTAR MEDICAL GROUP
MARIETTA, GA 30066-6340
Phone number: 770-792-5211
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Mailing Address
-- MARIA DE FREITAS PA-C
2471 SHORELINE PKWY
VILLA RICA, GA 30180-3486
Phone number: 770-456-5477
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