Individual
MRS. AMANDA MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1810 MULKEY RD, AUSTELL, GA 30106-1151
(678) 540-7597
(770) 485-9802
Mailing address
1810 MULKEY RD, AUSTELL, GA 30106-1151
(678) 540-7597
(770) 485-9802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN212312
GA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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