Individual
IRIS D AMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,WHNP, NP-C,
Contact information
Practice address
2670 COBB PKWY SE, SMYRNA, GA 30080-3014
(678) 813-4638
(770) 955-8787
Mailing address
2670 COBB PKWY SE, SMYRNA, GA 30080-3014
(404) 488-3482
(678) 813-4538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
FO804127
GA
363LF0000X
Family Nurse Practitioner
Primary
NP041284
GA
363LW0102X
Women's Health Nurse Practitioner
NP041284
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN041284
GEORGIA LICENSE
GA
Enumeration date
02/14/2007
Last updated
11/10/2016
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