SearchGeorgia251E00000X

Maxine Breedlove

NPI 1245122654 · on the registry since 2025 · sole proprietor

Practice

Address
640 Dana Pointe Ct
Lawrenceville, GA 30045
Phone
(470) 367-0632
Fax
(470) 367-0632

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-18

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