Individual
MRS. AMANDA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 TRINITY PL, ATHENS, GA 30607-2100
(706) 543-2718
Mailing address
135 BEAR PAW CT, BOGART, GA 30622-5183
(706) 202-1483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN175504
GA
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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