Individual
MS. AMBER IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, GC 1150, AUGUSTA, GA 30912-0004
(706) 727-1360
Mailing address
2006 CENTRAL AVE, APT 1, AUGUSTA, GA 30904-2306
(706) 361-5037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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