Individual
HAILEY A AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1534 CLIFTON RD NE, ATLANTA, GA 30322-4005
(404) 778-3903
Mailing address
408 DREXEL AVE, DECATUR, GA 30030-2808
(864) 905-0187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49899
TN
207R00000X
Internal Medicine Physician
LL31786
SC
Other
Enumeration date
06/12/2009
Last updated
03/31/2020
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