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Individual

MS. AMY QUADRENA HARRIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
11565 CREEKSTONE RD, HAMPTON, GA 30228-3467
(404) 380-0360
Mailing address
11565 CREEKSTONE RD, HAMPTON, GA 30228-3467
(404) 380-0360

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
207688
GA
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
01/02/2023
Last updated
01/08/2026
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