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MARC GREG AMAYA
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1306959838
Individual Registrant: MARC GREG AMAYA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
8954 HOSPITAL DR DOUGLASVILLE, GA 30134-2272 US
Tel: 770-920-6420 Fax: --
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
Tel: 770-874-5400 Fax: 770-874-5469
Registration Information:
NPI: 1306959838
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | GA | 047181 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00834237E | GA | 05 | |
| 000834237D | GA | 05 | |
| 00834237C | GA | 05 |
