Individual
AMBER MARIE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MANNING ST, TALLAPOOSA, GA 30176-1378
(770) 773-0957
Mailing address
240 MANNING ST, TALLAPOOSA, GA 30176-1378
(770) 773-0957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277513
GA
Other
Enumeration date
02/14/2025
Last updated
10/22/2025
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