MEDICARE: DR. MAESHA MARIE TWYNER MD/MPH

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	207V00000X	Obstetrics & Gynecology Physician	89853	GA
2	207V00000X	Obstetrics & Gynecology Physician	MD.36111	AL

General Provider Information

NPI Number	:	1396188918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAESHA MARIE TWYNER MD/MPH

Provider Business Mailing Address
First Line	:	2395 WALL ST SE STE 180
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-6703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2395 WALL ST SE STE 180
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-6703
Country	:	US
Telephone Number	:	770-809-1100
Fax Number	:

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

Provider Enumeration Date	:	04/12/2013
Last Update Date	:	03/18/2026

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