Individual
AMANDA NICOLE CANOVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E. HOSPITAL RD., AUGUSTA, GA 30905-0000
(706) 787-7248
Mailing address
300 E. HOSPITAL RD, AUGUSTA, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
220750
GA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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