Individual
AMANDA RENEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
5746 RIVERMOORE DR, BRASELTON, GA 30517-6077
(678) 995-4256
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
205602
GA
Other
Enumeration date
10/21/2021
Last updated
10/25/2021
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