Individual
AMY GAMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
602 WEST MEMORIAL DRIVE, SUIT 101, DALLAS, GA 30132
(943) 202-7870
(470) 986-7205
Mailing address
602 WEST MEMORIAL DRIVE, SUIT 101, DALLAS, GA 30132
(943) 202-7870
(470) 986-7205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN256719
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN256719
GA
Other
Enumeration date
01/15/2020
Last updated
10/02/2024
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