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Individual

DR. AMANDA STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1150 WEST AVE, CARTERSVILLE, GA 30120
(770) 606-1260
Mailing address
351 ETOWAH DRIVE, CARTERSVILLE, GA 30120
(770) 547-3669

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028281
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH028281
GA STATE BOARD OF PHARMACY
GA
Enumeration date
09/03/2015
Last updated
09/03/2015
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