Individual
XATANYA AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 BATTLECREEK VILLAGE DR, JONESBORO, GA 30236-8517
(404) 764-0489
Mailing address
701 BATTLECREEK VILLAGE DR, JONESBORO, GA 30236-8517
(404) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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