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1174301386
AMANDA GAYLE PETTY
WAYCROSS, GA
NPI
1174301386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA RN222648)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
AMANDA GAYLE PETTY APRN
3620 HARRIS RD
WAYCROSS, GA 31503-0311
Phone number: 912-287-4856
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Mailing Address
AMANDA GAYLE PETTY APRN
156 ELIZABETH ST
FOLKSTON, GA 31537-2926
Phone number: 912-390-9537
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