Individual
MS. AMANDA FRANCES LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5416 FOREST FALLS DR, LOGANVILLE, GA 30052-3441
(678) 859-6013
Mailing address
5416 FOREST FALLS DR, LOGANVILLE, GA 30052-3441
(678) 859-6013
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN216926
GA
Other
Enumeration date
01/12/2015
Last updated
04/16/2015
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