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Individual

AMY CARMICHAEL MARESCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030-2441
(770) 312-3562
Mailing address
2792 SMITHSONIA WAY, TUCKER, GA 30084-2617
(770) 312-3562

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN195223
GA

Other

Enumeration date
07/30/2013
Last updated
04/22/2025
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