Individual
AMANDA C KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 KING LN, NASHVILLE, GA 31639-5902
(229) 237-3004
Mailing address
280 KING LN, NASHVILLE, GA 31639-5902
(229) 237-3004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003247
GA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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