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MARC GREG AMAYA

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306959838

Individual Registrant:
 MARC GREG AMAYA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
8954 HOSPITAL DR  DOUGLASVILLE, GA 30134-2272 US
Tel: 770-920-6420  Fax: --

Contact information for business:
5665 NEW NORTHSIDE DR NW SUITE 320 ATLANTA, GA 30328-5831 US
Tel: 770-874-5400  Fax: 770-874-5469

Registration Information:
NPI: 1306959838
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
GA047181

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00834237EGA05
000834237DGA05
00834237CGA05




HEALTH CARE JOBS GA - Page 1



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