Individual
MS. AMYA B. BECKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3440 HIGHWAY 81, LOGANVILLE, GA 30052-9112
(770) 554-5009
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16630250
CAQH
—
Enumeration date
09/17/2025
Last updated
10/10/2025
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