Individual
AMANDA GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4367
Mailing address
1940 BREWER BLVD SW, ATLANTA, GA 30310-4910
(404) 755-6842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN053480
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN053480
GA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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