Individual
AMY MARIE HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1657 N EXPRESSWAY, GRIFFIN, GA 30223-1276
(770) 228-2641
Mailing address
1657 N EXPRESSWAY, GRIFFIN, GA 30223-1276
(770) 631-9292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN144931
GA
Other
Enumeration date
11/03/2011
Last updated
11/10/2020
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