AMANDA ELIZABETH SHAW

DALLAS, GA
NPI1104216639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN210233)
Enumeration Date2015-02-04
Last Update Date2020-02-09
Business Address
Mrs. AMANDA ELIZABETH SHAW
495 CHARLES HARDY PKWY
DALLAS, GA 30157-5723
Phone number: 770-445-2128
Mailing Address
Mrs. AMANDA ELIZABETH SHAW
495 CHARLES HARDY PKWY
DALLAS, GA 30157-5723
Phone number: 770-445-2128
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