Provider Demographics
NPI:1396188918
Name:TWYNER, MAESHA MARIE (MD/MPH)
Entity Type:Individual
Prefix:DR
First Name:MAESHA
Middle Name:MARIE
Last Name:TWYNER
Suffix:
Gender:F
Credentials:MD/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:115 EAGLE SPRING DR STE A200
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6486
Mailing Address - Country:US
Mailing Address - Phone:770-474-0064
Mailing Address - Fax:770-474-2998
Practice Address - Street 1:115 EAGLE SPRING DR STE A200
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6486
Practice Address - Country:US
Practice Address - Phone:770-474-0064
Practice Address - Fax:770-474-2998
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.36111207V00000X
GA89853207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology