AMANDA BOULOS

MARIETTA, GA
NPI1194503722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  12976)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-09-15
Last Update Date2025-04-28
Business Address
AMANDA BOULOS
1371 CHURCH STREET EXT NE SUITE 200
MARIETTA, GA 30060-7913
Phone number: 678-481-0579
Mailing Address
AMANDA BOULOS
1551 JANMAR RD
SNELLVILLE, GA 30078-5606
Phone number: 470-579-5600