Provider Demographics
NPI:1922126796
Name:ROXO, ANA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARIA
Last Name:ROXO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1870 INDEPENDENCE SQ STE D
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5155
Mailing Address - Country:US
Mailing Address - Phone:770-396-6190
Mailing Address - Fax:770-396-5541
Practice Address - Street 1:1870 INDEPENDENCE SQ STE D
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5155
Practice Address - Country:US
Practice Address - Phone:770-396-6190
Practice Address - Fax:770-396-5541
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA48845207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA05BDJTTMedicare ID - Type Unspecified