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Organization
AMD HEALTHCARE, LLC
Active
Organization
AMD HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN E POWELL (ASSISTANT ADMINISTRATOR)
(904) 614-8005
Entity
Organization
Contact information
Practice address
200 GLEN EAGLE CT STE 14B, CARROLLTON, GA 30117-4267
(770) 480-2639
Mailing address
200 GLEN EAGLE CT STE 14B, CARROLLTON, GA 30117-4267
(770) 480-2639
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
NULL
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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