Individual
AMANDA THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 E OGLETHORPE HWY, HINESVILLE, GA 31313-1200
(912) 876-2173
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN093701
GA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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