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Individual

AMY KATHRYN HARTLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
11 PADDOCK LN, RYDAL, GA 30171-1432
(770) 595-5570
Mailing address
11 PADDOCK LN, RYDAL, GA 30171-1432
(770) 595-5570

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN218459
GA

Other

Enumeration date
10/14/2016
Last updated
01/13/2021
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