Individual
MISS AMALIA GALEN THERA SKALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 ORTHO LN, ATLANTA, GA 30329-2315
(404) 778-3350
Mailing address
1719 RIDGEWOOD DR NE, ATLANTA, GA 30307-1150
(504) 307-0645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12005
GA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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