Individual
AMBER LESHEA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(800) 805-6989
Mailing address
843 BRACKETT RD NE, RESACA, GA 30735-6607
(706) 307-9641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076124
GA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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