Individual
AMANDA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9280 HIGHWAY 5, DOUGLASVILLE, GA 30134-1501
(770) 949-2250
Mailing address
154 MARION LN, DOUGLASVILLE, GA 30134-5846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN222420
GA
Other
Enumeration date
10/07/2017
Last updated
10/07/2017
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