Individual
MS. AMANDA GOLSON TRUESDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5518 STONELEIGH CT, STONE MOUNTAIN, GA 30088-3433
(404) 542-7999
Mailing address
5518 STONELEIGH CT, STONE MOUNTAIN, GA 30088-3433
(404) 542-7999
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
024176418
GA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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