Individual
AMELIA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1234 BENTLEY ESTATES DR, DACULA, GA 30019-7786
(678) 507-7094
Mailing address
1234 BENTLEY ESTATES DR, DACULA, GA 30019-7786
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01180706
GA
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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