Individual
AMANDA DAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 MOUNTAIN CITY RD, CLAYTON, GA 30525-3072
(706) 960-9533
Mailing address
4668 BEACON RIDGE LN, FLOWERY BRANCH, GA 30542-6317
(770) 274-9054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN271516
GA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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