Individual
MS. AMANDA LYNN PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2613
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(044) 712-7109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6956
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/25/2013
Last updated
04/09/2026
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