Individual
AMANDA Y PELLERITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
(770) 422-7797
Mailing address
708 STEWART CIR NW, MARIETTA, GA 30064-2170
(770) 378-2209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
11/06/2019
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