NPI 1619753092 · live from the CMS NPI Registry
Carlos Alberto Amaya, PA-C
Physician Assistant in Austell, GA. National Provider Identifier 1619753092, active.
NPI record
| NPI | 1619753092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1810 Mulkey Rd Ste 202, Austell, GA 30106 |
| Practice phone | 770-694-6349 |
| Mailing address | 2111 Deer Run Ct, Lawrenceville, GA 30044 |
| Enumerated | September 1, 2023 |
| Last updated | September 1, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | 11842 (GA) |
| Physician Assistant primary | 363A00000X | 11842 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.