Individual
AMANDA REBEKAH STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 LEE ST, NEWNAN, GA 30263-1915
(770) 486-1140
Mailing address
733 STALLINGS RD APT B, SENOIA, GA 30276-1477
(770) 833-1344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN213712
GA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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