Wall, Amanda Erin Irene

Wall, Amanda Erin Irene is an individual health care provider with primary practice located at 1133 Eagles Landing Pkwy , Stockbridge GA 30281-5085. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Wall, Amanda Erin Irene can be contacted via phone (800) 243-3839.

Contact Information

Primary practice address
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085
Phone: (800) 243-3839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN197245 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN197245 Georgia

Profile Details

NPI number 1477212629
LBN Legal business name Wall, Amanda Erin Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2021
Last updated Apr 6th, 2022 - about 3 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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