Individual
AMANDA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
134 RHEA MCCLANAHAN DR, TUNNEL HILL, GA 30755-7328
(706) 516-1814
(706) 965-5941
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 956-2665
(706) 657-2958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN240724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000211956A
—
GA
05
—
000211956C
—
GA
05
—
003138289A
—
GA
Enumeration date
06/22/2015
Last updated
06/22/2015
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