Individual
MS. AMANDA ELLEN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ACNP
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(404) 502-2787
Mailing address
2245 FORT ST SE, SMYRNA, GA 30080-9262
(404) 502-2787
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN 141398 NP
GA
Other
Enumeration date
05/31/2006
Last updated
11/27/2012
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