Individual
JEREMY AMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1281
(404) 778-5299
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1064
(404) 778-5299
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7874
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/15/2015
Last updated
09/19/2018
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