Individual
AMANDA J HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3951 RIDGE AVE, STE B, MACON, GA 31210-5050
(478) 757-1934
(478) 757-1596
Mailing address
3951 RIDGE AVE, STE B, MACON, GA 31210-5050
(478) 757-1934
(478) 757-1596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN213627
GA
Other
Enumeration date
06/24/2014
Last updated
03/13/2019
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