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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518055631 | NPPES |
Georgia | MEDICAID | 987163439A |
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