Individual
AMIA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 530, ATLANTA, GA 30342-5005
(678) 843-7324
Mailing address
780 HOPEWELL PLACE DR, ALPHARETTA, GA 30004-8100
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
11/11/2024
Last updated
11/15/2024
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