Richardson, Amanda

Richardson, Amanda is an individual health care provider with primary practice located at 2959 Sharpsburg Mccullum Rd , Newnan GA 30265-2297. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Richardson, Amanda can be contacted via phone (770) 502-2020.

Contact Information

Primary practice address
2959 Sharpsburg Mccullum Rd Newnan GA 30265-2297
Phone: (770) 502-2020
Fax: (770) 502-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN145030 Georgia

Profile Details

NPI number 1518055631
LBN Legal business name Richardson, Amanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 7th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518055631 NPPES
Georgia MEDICAID 987163439A

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