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Individual

AMBER C GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1093 W PARKER ST, BAXLEY, GA 31513-0672
(912) 367-9559
Mailing address
1912 MEMORIAL DR, SUITE E, WAYCROSS, GA 31501-0913

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209994
GA

Other

Enumeration date
10/13/2016
Last updated
03/27/2025
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