Individual
AMANDA HAINES-O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVENUE, WINN ARMY COMMUNITY HOSPITAL-IPBHU, FORT STEWART, GA 31314-5674
(912) 435-6123
(912) 435-6677
Mailing address
1061 HARMON AVENUE, WINN ARMY COMMUNITY HOSPITAL-IPBHU, FORT STEWART, GA 31314-5674
(912) 435-6123
(912) 435-6677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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