Individual
AMANDA MICHELLE BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 537-5644
Mailing address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 537-5644
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246ZC0007X
246ZC0007X
—
Enumeration date
12/21/2020
Last updated
12/21/2020
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