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Individual

AMY C QUEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
(770) 422-7797
Mailing address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
(770) 422-7797

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN211046
GA
363LA2100X
Acute Care Nurse Practitioner
173670
MT
363LA2100X
Acute Care Nurse Practitioner
Primary
RN211046
GA
363LG0600X
Gerontology Nurse Practitioner
173670
MT
363LG0600X
Gerontology Nurse Practitioner
RN211046
GA

Other

Enumeration date
06/07/2018
Last updated
12/14/2023
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