Individual
AMANDA CARINA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST, SUITE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
82174
GA
207ZC0006X
Clinical Pathology Physician
MT204284
PA
207ZP0101X
Anatomic Pathology Physician
Primary
82174
GA
Other
Enumeration date
05/20/2013
Last updated
05/13/2019
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