Malayter, Amanda

Malayter, Amanda is an individual health care provider with primary practice located at 4458 Jonesboro Rd , Forest Park GA 30297-4314. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Malayter, Amanda can be contacted via phone (678) 904-6484.

Contact Information

Primary practice address
4458 Jonesboro Rd Forest Park GA 30297-4314
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013426 Georgia

Profile Details

NPI number 1942386867
LBN Legal business name Malayter, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 9th, 2007 - about 17 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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