Provider Demographics
NPI:1255162681
Name:MAFFEI, AMY (CHHP, RCPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MAFFEI
Suffix:
Gender:F
Credentials:CHHP, RCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 LAKELAND PLZ STE 135
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2807
Mailing Address - Country:US
Mailing Address - Phone:770-597-2753
Mailing Address - Fax:
Practice Address - Street 1:6074 MORNING STAR LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-3425
Practice Address - Country:US
Practice Address - Phone:770-597-2753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath