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Maya Lake

NPI 1518675727 · on the registry since 2022 · sole proprietor

Practice

Address
2053 Metropolitan Pkwy Sw Ste A
Atlanta, GA 30315
Phone
(404) 600-3830
Clinicians at this address
2

Registry record

Primary taxonomy
335E00000X
335E00000X
Sex
Female
Record last updated
2022-11-08

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