IndividualActive
Andrea Maxwell
NPI 1508043191 · Nurse Practitioner · Carrollton, GA
Provider details
- NPI number
- 1508043191
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN161634 (GA)
Practice location
150 Clinic Ave
Suite 101
Carrollton, GA 30117-4401
Phone: (770) 834-0873
Mailing address
150 Clinic Ave
Carrollton, GA 30117-4401
Registry dates
- Enumerated
- 2008-01-25
- Last updated
- 2008-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.