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Individual

MRS. AMANDA J RAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
5300 BOWMAN PARK, MACON, GA 31210-6583
(478) 741-3007
(478) 744-3481
Mailing address
5300 BOWMAN PARK, MACON, GA 31210-6583
(478) 741-3007

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN23215
GA
363LP0200X
Pediatric Nurse Practitioner
RN232150
GA

Other

Enumeration date
08/23/2016
Last updated
03/14/2025
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