Individual
MRS. AMANDA NESS MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 CHURCH ST NE STE 335, MARIETTA, GA 30060-8957
(770) 590-8311
(770) 590-8313
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 590-8311
(770) 590-8313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003139387E
—
GA
05
—
003139387F
—
GA
01
—
202I973702
MEDICARE
GA
Enumeration date
09/30/2013
Last updated
08/31/2020
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