Organization
QUALITY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GUNTER NP (NP/OWNER/PROVIDER)
(706) 534-4637
Entity
Organization
Contact information
Practice address
1175 MITCHELL BRIDGE RD, ATHENS, GA 30606-6411
(706) 534-4637
Mailing address
1175 MITCHELL BRIDGE RD, ATHENS, GA 30606-6411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190555H
—
GA
Enumeration date
03/04/2021
Last updated
08/03/2021
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