Individual
DR. AMELYA R. HARDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1721 POWDER SPRINGS RD SW STE 103, COAST DENTAL - CHEATHAM HILL, MARIETTA, GA 30064-4880
(770) 293-0605
(770) 293-0606
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 260-8551
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014519
GA
1223G0001X
General Practice Dentistry
23126
TX
1223G0001X
General Practice Dentistry
9061
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516040
—
TN
Enumeration date
05/04/2007
Last updated
11/19/2014
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