Individual
AMANDA CARVER MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
640 MAIN ST N, PEARSON, GA 31642
(912) 422-3131
(912) 422-3180
Mailing address
204 E 4TH ST, OCILLA, GA 31774-1539
(229) 468-9166
(229) 468-9188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN201661
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003161765A
—
GA
Enumeration date
06/09/2015
Last updated
10/02/2020
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