Individual provider · Type 1 NPI
Amanda Hope Descalzo, PA-C
Medical Physician Assistant · Villa Rica, GA
NPI number
1508110255
Active
Practice location
690 Dallas Hwy Ste 103
Villa Rica, GA 30180-1265
Fax (770) 214-2803
Mailing address
157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Other practice locations
- 705 Dixie St, Carrollton, GA 30117-3818 · (770) 836-9666
- 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 · (770) 214-2800
- 204 Allen Memorial Dr Ste 302B, Bremen, GA 30110-2047 · (770) 214-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 007836 (GA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1508110255
Amanda Hope Descalzo, PA-C's National Provider Identifier is 1508110255, issued on Nov 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Villa Rica, GA. The record was last updated on Aug 9, 2024.