Mugo, Maryann N

Mugo, Maryann N is an individual health care provider with primary practice located at 48 Hills Creek Rd , Taylorsville GA 30178-2051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Mugo, Maryann N can be contacted via phone (770) 684-8700.

Contact Information

Primary practice address
48 Hills Creek Rd Taylorsville GA 30178-2051
Phone: (770) 684-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 57010 Minnesota

Profile Details

NPI number 1235173485
LBN Legal business name Mugo, Maryann N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 10th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235173485 NPPES
Other 204610 BCBS
Other P00371698 BCBS
MEDICAID 200647907 BCBS

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