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NPI Code Detail

MEDICARE: AMARI THOMAS PA-C

MEDICARE:   AMARI  THOMAS  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant12999GA

General Provider Information

NPI Number : 1508641283
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMARI THOMAS PA-C
Provider Business Mailing Address
First Line : 1462 CLIFTON RD NE STE 280
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1063
Country : US
Telephone Number : 404-727-7825
Fax Number :
Provider Business Practice Location Address
First Line : 1462 CLIFTON RD NE STE 280
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1063
Country : US
Telephone Number : 404-727-7825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2023
Last Update Date : 03/03/2026

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Directions to “ AMARI THOMAS PA-C” Practice Location

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