Individual
AMANDA WOODARD HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2504
(229) 931-2474
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2504
(229) 931-2474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175580
GA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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