Individual
AMANDA F BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
Mailing address
PO BOX 2994, KENNESAW, GA 30156-9181
(770) 779-2171
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
057932
GA
Other
Enumeration date
07/31/2006
Last updated
03/02/2009
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