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Individual

MS. AMY L SICKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1505 NORTHSIDE BLVD, SUITE 4600, CUMMING, GA 30041-7658
(770) 205-5292
(770) 205-5291
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 510, SANDY SPRINGS, GA 30342-1709
(404) 419-1140
(404) 419-1164

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005070
GA

Other

Enumeration date
12/12/2006
Last updated
11/08/2023
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