# MS. AMY MARIE SQUEGLIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295897338
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA21669 | CA | Yes |
| 363A00000X | Physician Assistant | — | GA | — |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 471450282A | — | GA |
| 05 | — | 471450282B | — | GA |
| 01 | — | 97WCJNV | MEDICARE | GA |