Search › Georgia › 207Q00000X
Mariam Antonios, D.O
NPI 1164885901 · on the registry since 2016
Practice
- Address
- 665 Duluth Hwy Ste 501
Lawrenceville, GA 30046 - Phone
- (678) 312-0400
- Organisation at this address
- Gwinnnett Hospital System, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 96
Additional practice sites
- 9000 Franklin Square Dr, Baltimore, MD
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia