Individual
AMY DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 352-7424
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 352-7424
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-0608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-0608
OTC
GA
Enumeration date
10/20/2017
Last updated
10/20/2017
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