Individual
AMBER MORGAN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
311 ALCOVY ST, MONROE, GA 30655-2139
(770) 207-7916
Mailing address
311 CARNATION DR, SOCIAL CIRCLE, GA 30025-4309
(404) 401-9248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN287442
GA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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