Individual
AMANDA NICOLE CLEGHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4355 BROWNS BRIDGE RD STE 1, CUMMING, GA 30041-4554
(770) 771-5050
(770) 771-5051
Mailing address
4355 BROWNS BRIDGE RD, CUMMING, GA 30041-4554
(770) 771-5050
(770) 771-5051
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN 218110
GA
Other
Enumeration date
06/28/2016
Last updated
05/25/2022
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