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MRS. AMANDA KATHRYN KLOSKY PAC

Surgery Yellow Pages

Atlanta, Georgia

Provider NPI: 1487646287

Provider Information:
MRS. AMANDA KATHRYN KLOSKY PAC


Practice Location:
2001 PEACHTREE RD NE STE 705 ATLANTA, GA 30309 US
Tel: 404-355-0743  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y364SM0705XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Medical-Surgical
GA003264

Other Provider Identifiers:

IssuerNumberStateType
100000985AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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