Mujica, Juan Antonio

Mujica, Juan Antonio is an individual health care provider with primary practice located at 210 Village Center Pkwy , Stockbridge GA 30281-9044. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mujica, Juan Antonio can be contacted via phone (770) 474-5952.

Contact Information

Primary practice address
210 Village Center Pkwy Stockbridge GA 30281-9044
Phone: (770) 474-5952
Fax: (770) 474-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023193 Georgia

Profile Details

NPI number 1760488282
LBN Legal business name Mujica, Juan Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 6th, 2010 - about 14 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 1760488282 NPPES
Georgia Other 591423 BLUE CROSS BLUE SHIELD GA
Georgia Other D30300 BLUE CROSS BLUE SHIELD GA
Georgia Other 580685000 BLUE CROSS BLUE SHIELD GA

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