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Individual

DR. AMY R CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
699 CHURCH ST NE STE 235, MARIETTA, GA 30060-1132
(770) 792-6262
(770) 590-4187
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
070059
GA
207VX0201X
Gynecologic Oncology Physician
Primary
070059
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003137055A
GA
Enumeration date
06/14/2007
Last updated
11/05/2019
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