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Individual

AMANDA WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGCNS-BC

Contact information

Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 851-6123
Mailing address
4135 ARCH PASS, CUMMING, GA 30040-9377
(239) 304-6290

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
RN228817
GA
364SA2200X
Adult Health Clinical Nurse Specialist
RN228817
GA
364SE0003X
Emergency Clinical Nurse Specialist
Primary
RN228817
GA

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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