Close, Amanda Carpenter
Close, Amanda Carpenter is an individual health care provider with primary practice located at 301 Medical Dr Ste 504 , Lagrange GA 30240-4172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Close, Amanda Carpenter can be contacted via phone (404) 518-7817.Contact Information
Primary practice address
301 Medical Dr Ste 504
Lagrange GA 30240-4172
Phone: (404) 518-7817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN220550 | Georgia |
Profile Details
| NPI number | 1427588169 |
|---|---|
| LBN Legal business name | Close, Amanda Carpenter |
| Credentials | APRN, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2017 |
| Last updated | Jun 15th, 2017 - 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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