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Ms. Amanda Hope Descalzo, PA-C
Medical Physician Assistant in Villa Rica, Georgia
NPI 1508110255

Amanda Hope Descalzo is a Medical Physician Assistant based in Carrollton, GA and is specialized in Medical. Amanda Hope Descalzo practices in Villa Rica, GA and has the professional credentials of PA-C. The NPI Number for Amanda Hope Descalzo is 1508110255 and holds a License No. 007836 (Georgia).

The current practice location address for Amanda Hope Descalzo is 690 Dallas Hwy Ste 103, Villa Rica, GA and can be reached out via phone at 770-214-2800 and via fax at 770-214-2803.

Location: 690 Dallas Hwy Ste 103, Villa Rica, GA, 30117-4454
person
Provider Profile Details
NPI Number
1508110255
Provider Name
Amanda Hope Descalzo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
690 Dallas Hwy Ste 103, Villa Rica, GA, 30117-4454
Phone Number
770-214-2800
Fax Number
770-214-2803
Provider Enumeration Date
11/02/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003171912E 05 GA
institution
Provider Business Practice Location Address Details
Address
690 Dallas Hwy Ste 103
City
State
Zip
30180-1265
Phone Number
770-214-2800
Fax Number
770-214-2803
person
Provider Business Mailing Address Details
Address
690 Dallas Hwy Ste 103
City
State
Zip
30180-1265
Phone Number
770-214-2800
Fax Number
770-214-2803
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
007836 (Georgia)
Definition
Definition to come...
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