Individual
AMANDA JEAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSED
Contact information
Practice address
12340 CENTRAL AVE, HOBOKEN, GA 31542-2846
(912) 458-3184
(912) 485-3184
Mailing address
12340 CENTRAL AVE, HOBOKEN, GA 31542-2846
(912) 458-3184
(912) 485-3184
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
788391
GA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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