Organization
JR HEALTH CONSULTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK AMIN (CREDENTIALING)
(717) 910-6512
Entity
Organization
Contact information
Practice address
2548 WALNUT RIDGE WAY, STOCKBRIDGE, GA 30281-9214
(678) 876-7880
Mailing address
2548 WALNUT RIDGE WAY, STOCKBRIDGE, GA 30281-9214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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