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Individual

AMANDA OMOROGBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001
Mailing address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95280054
CA
163W00000X
Registered Nurse
RN284331
GA
163WC0200X
Critical Care Medicine Registered Nurse
RN284331
GA
363LA2100X
Acute Care Nurse Practitioner
95033098
CA
363LG0600X
Gerontology Nurse Practitioner
95033098
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN284331
GA

Other

Enumeration date
04/18/2023
Last updated
03/30/2025
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