Individual
AMANDA WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 POPLAR RD STE 310, NEWNAN, GA 30265-8303
(770) 251-2590
(770) 251-1490
Mailing address
1800 HOWELL MILL RD NW STE 800, ATLANTA, GA 30318-0922
(770) 251-2590
(770) 251-1490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN206584
GA
Other
Enumeration date
06/10/2020
Last updated
07/12/2021
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