Individual
AMANDA HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8333 OFFICE PARK DRIVE, E, DOUGLASVILLE, GA 30180-6937
(404) 491-9916
Mailing address
500 FIRETHORN CT, VILLA RICA, GA 30180-5184
(404) 491-9916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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