MEDICARE: HEDY URUETA-MAZZILLI MD

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
1	207Q00000X	Family Medicine Physician	49060	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	49060-020	OTHER	WI	STATE MEDICAL LICENSE
4	95184	OTHER	GA	LICENSE

General Provider Information

NPI Number	:	1811074370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEDY URUETA-MAZZILLI MD

Provider Business Mailing Address
First Line	:	1825 HIGHWAY 34 E STE 1200
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30265-6416
Country	:	US
Telephone Number	:	888-361-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 VIRGINIA AVE STE 100
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1367
Country	:	US
Telephone Number	:	404-537-1636
Fax Number	:	404-537-1638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	03/27/2026

Similar Medicare Providers

1710212196 — DR. TABITHA DELAINA BALL PH.D.
Practice Location Address:

1001 VIRGINIA AVE STE 210
HAPEVILLE, GA
30354-1367

Practice Phone: 404-218-8657
Practice Fax:

1518439066 — THE CHIRO EXPRESS LLC
Practice Location Address:

1001 VIRGINIA AVE STE 302
HAPEVILLE, GA
30354-1367

Practice Phone: 470-481-1777
Practice Fax:

1790375772 — AMERIGEN RX
Practice Location Address:

1001 VIRGINIA AVE STE 360
HAPEVILLE, GA
30354-1367

Practice Phone: 404-941-7575
Practice Fax: 404-941-7167

1346909942 — PEACHLAND MEDICAL SUPPLY INC
Practice Location Address:

1001 VIRGINIA AVE STE 314
HAPEVILLE, GA
30354-1367

Practice Phone: 404-629-7613
Practice Fax:

1851562953 — DR. CHRISTOPHER LAMONT BOWE D.C
Practice Location Address:

1001 VIRGINIA AVE STE 302
ATLANTA, GA
30354-1367

Practice Phone: 470-481-1777
Practice Fax:

1821626516 — CREATED2EMPOWER COUNSELING SERVICES,LLC
Practice Location Address:

1001 VIRGINIA AVE STE 330
ATLANTA, GA
30354-1367

Practice Phone: 404-963-1838
Practice Fax:

Directions to “ HEDY URUETA-MAZZILLI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.