Individual
AMANDA MARIE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(470) 325-0159
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
251151
GA
Other
Enumeration date
10/08/2018
Last updated
09/02/2020
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