Raynor, Amanda J

Raynor, Amanda J is an individual health care provider with primary practice located at 1045 Southcrest Drive Suite 110, Stockbridge GA 30281-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Raynor, Amanda J can be contacted via phone (770) 507-2212.

Contact Information

Primary practice address
1045 Southcrest Drive Suite 110 Stockbridge GA 30281-6113
Phone: (770) 507-2212
Fax: (770) 507-2213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN232150 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN23215 Georgia

Profile Details

NPI number 1043765720
LBN Legal business name Raynor, Amanda J
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Aug 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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