Individual
CARLOS ALBERTO AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1810 MULKEY RD STE 202, AUSTELL, GA 30106-1150
(770) 694-6349
Mailing address
2111 DEER RUN CT, LAWRENCEVILLE, GA 30044-5935
(423) 453-1772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11842
GA
363AS0400X
Surgical Physician Assistant
11842
GA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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