Individual
AMANDA DANIELLE GATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5040 BILL GARDNER PKWY STE 100, LOCUST GROVE, GA 30248-3758
(678) 583-5437
(678) 583-5484
Mailing address
5040 BILL GARDNER PKWY STE 100, LOCUST GROVE, GA 30248-3758
(678) 583-5437
(678) 583-5484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN197686
GA
363LP0200X
Pediatric Nurse Practitioner
RN197686
GA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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