Individual
MS. AMY MAURA CUNHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 PROFESSIONAL DR STE 170, LAWRENCEVILLE, GA 30046-3392
(678) 312-2663
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(774) 230-9280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9838
GA
363A00000X
Physician Assistant
—
GA
363AS0400X
Surgical Physician Assistant
Primary
9838
GA
Other
Enumeration date
06/03/2020
Last updated
04/09/2021
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