Individual
AMANDA CHAMBERS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 SHORTER AVE NW STE 105, ROME, GA 30165-4256
(706) 290-9606
Mailing address
1326 LAKE CREEK RD, CEDARTOWN, GA 30125-4460
(706) 346-2651
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN216149
GA
Other
Enumeration date
06/23/2018
Last updated
01/08/2019
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