Individual
MS. GLORIA B AMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 OLD 41 HWY NW STE 112-157, KENNESAW, GA 30152-4480
(678) 360-7570
Mailing address
1635 OLD 41 HWY NW STE 112-157, KENNESAW, GA 30152-4480
(678) 360-7570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN172207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
04/19/2021
Last updated
04/19/2021
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