Individual
AMY LORD MITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
82 COLLEGE CIRCLE, DAHLONEGA, GA 30597
(706) 867-2713
Mailing address
3320 COVE RD, JASPER, GA 30143-5005
(770) 894-5575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN118764
GA
Other
Enumeration date
07/08/2010
Last updated
07/12/2010
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