Individual
AMY D WHITCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(678) 494-5700
(678) 494-5703
Mailing address
1515 OAK CREEK DR, MARIETTA, GA 30066-4159
(770) 851-1146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN102126
GA
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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