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NPI Code Detail

MEDICARE: HADAS MAIMON

MEDICARE: HADAS MAIMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician79274GA

General Provider Information

NPI Number : 1699193821
Entity Type Code : Individual
Provider Name (Legal Business Name) : HADAS MAIMON
Provider Business Mailing Address
First Line : 88 LINDSEY LN STE C
Second Line :
City : SAINT MARYS
State : GA
Zip : 31558-1725
Country : US
Telephone Number : 912-322-5791
Fax Number : 912-341-6794
Provider Business Practice Location Address
First Line : 88 LINDSEY LN STE C
Second Line :
City : SAINT MARYS
State : GA
Zip : 31558-1725
Country : US
Telephone Number : 912-322-5791
Fax Number : 912-341-6794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2014
Last Update Date : 01/23/2026

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Directions to “ HADAS MAIMON ” Practice Location

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