Individual
AMANDA LEIGH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
907 N COURT ST, QUITMAN, GA 31643-1315
(229) 263-4531
(229) 263-5787
Mailing address
7166 W US 90, GREENVILLE, FL 32331-4664
(850) 464-1182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9234328
FL
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP002671
GA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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