Individual
AMY BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
706 DIXIE ST STE 320, CARROLLTON, GA 30117-3890
(770) 812-9326
(770) 836-9358
Mailing address
1196 SANDHILL HICKORY LVL RD, CARROLLTON, GA 30116-8158
(404) 784-2675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP230576
GA
Other
Enumeration date
08/26/2021
Last updated
10/10/2025
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