Individual
AMBER REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9450 GRANDE DR, WINSTON, GA 30187-2305
(404) 978-5501
Mailing address
9450 GRANDE DR, WINSTON, GA 30187-2305
(404) 978-5501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN211206
GA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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