Individual
MRS. AMANDA JENKINS RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
80 W MAIN ST, BUTLER, GA 31006-5156
(478) 862-5453
(478) 862-5454
Mailing address
80 W MAIN ST, BUTLER, GA 31006-5156
(478) 862-5453
(478) 862-5454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN164620
GA
Other
Enumeration date
12/23/2013
Last updated
05/19/2014
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