Individual
MARC GREG AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 920-6420
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
047181
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000834237D
—
GA
05
—
00834237C
—
GA
05
—
00834237E
—
GA
Enumeration date
08/17/2006
Last updated
06/19/2008
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