Individual
MR. AMELITO MANUEL LOGRONIO ANDAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 PRINCE AVE., SUITE 102, ATHENS, GA 30606
(706) 475-7055
Mailing address
1199 PRINCE AVE. #70, ATHENS, GA 30606
(706) 475-1826
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
02/23/2023
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