Individual
AMY D IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1155 PERIMETER CTR FL 11, ATLANTA, GA 30338-5463
(404) 220-7334
Mailing address
299 N HIGHLAND AVE NE UNIT 3038, ATLANTA, GA 30307-5640
(478) 244-1427
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN139646
GA
363LP2300X
Primary Care Nurse Practitioner
139646
GA
Other
Enumeration date
01/09/2007
Last updated
10/04/2023
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