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Search › Georgia › Surgical Physician Assistant

Amanda Boulos

NPI 1194503722 · on the registry since 2023 · sole proprietor

Practice

Address
1371 Church Street Ext Ne
Suite 200
Marietta, GA 30060
Phone
(678) 481-0579
Organisation at this address
Marietta Advanced Surgery Center
Advanced Urology Institute Of Georgia
Laboratory Corporation Of America Holdings
Wellstar Kennestone Pediatric Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Physician Assistant
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia