Amaker, Iris D

Amaker, Iris D is an individual health care provider with primary practice located at 2670 Cobb Pkwy Se , Smyrna GA 30080-3014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Amaker, Iris D can be contacted via phone (678) 813-4638.

Contact Information

Primary practice address
2670 Cobb Pkwy Se Smyrna GA 30080-3014
Phone: (678) 813-4638
Fax: (770) 955-8787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP041284 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP041284 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X FO804127 Georgia

Profile Details

NPI number 1962545731
LBN Legal business name Amaker, Iris D
Credentials RN,MSN,WHNP, NP-C,
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 10th, 2016 - about 8 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 1962545731 NPPES
Georgia Other RN041284 GEORGIA LICENSE

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