Pico, Maria R

Pico, Maria R is an individual health care provider with primary practice located at 210 Village Center Pkwy , Stockbridge GA 30281-9044. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pico, Maria R 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 35731 Georgia

Profile Details

NPI number 1326044744
LBN Legal business name Pico, Maria R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 1st, 2010 - about 15 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 1326044744 NPPES
Georgia Other 451473 BLUE CROSS BLUE SHEILD GA
Georgia Other F58701 BLUE CROSS BLUE SHEILD GA

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