Individual
AMANDA TEAL GREENWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 MILLS RD, FRANKLIN, GA 30217-3997
(404) 543-9255
Mailing address
112 JEFFERSON ST, NEWNAN, GA 30263
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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