Individual
AMY SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
(404) 605-6517
Mailing address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
(404) 605-6517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921178978A
—
GA
05
—
921178978D
—
GA
05
—
921178978E
—
GA
05
—
921178978F
—
GA
05
—
921178978G
—
GA
Enumeration date
08/03/2006
Last updated
10/20/2017
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