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NPI Code Detail

MEDICARE: MISS FLORISSA C MAHER

MEDICARE:  MISS FLORISSA C MAHER
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
1251J00000XNursing Care AgencyPHCP010969GA
2253Z00000XIn Home Supportive Care Agency010969GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010969OTHERGAPHCP

General Provider Information

NPI Number : 1134712854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS FLORISSA C MAHER
Provider Business Mailing Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 678-856-8765
Fax Number : 678-222-3401
Provider Business Practice Location Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 678-222-3487
Fax Number : 678-222-3401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 12/01/2025

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Directions to “ MISS FLORISSA C MAHER ” Practice Location

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