Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 AUDREY WAY, MOULTRIE, GA 31788-3301
(229) 873-5698
Mailing address
145 AUDREY WAY, MOULTRIE, GA 31788-3301
(229) 873-5698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN189563
GA
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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