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1790259125
REAGAN AMANDA BURGE
DEMOREST, GA
NPI
1790259125
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Former Name
REAGAN AMANDA THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: GA RN191135)
Enumeration Date
2019-01-18
Last Update Date
2023-12-06
Business Address
Mrs. REAGAN AMANDA BURGE CNM
870 AUSTIN DR STE A
DEMOREST, GA 30535-4585
Phone number: 706-229-4233
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Mailing Address
Mrs. REAGAN AMANDA BURGE CNM
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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