Amaya, Marc Greg

Amaya, Marc Greg is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Amaya, Marc Greg can be contacted via phone (770) 920-6420.

Contact Information

Primary practice address
8954 Hospital Dr Douglasville GA 30134-2272
Phone: (770) 920-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 047181 Georgia

Profile Details

NPI number 1306959838
LBN Legal business name Amaya, Marc Greg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306959838 NPPES
Georgia MEDICAID 00834237E
Georgia MEDICAID 00834237C
Georgia MEDICAID 000834237D

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