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Search › Georgia › Family Nurse Practitioner

Amanda Shaw

NPI 1104216639 · on the registry since 2015

Practice

Address
495 Charles Hardy Pkwy
Dallas, GA 30157
Phone
(770) 445-2128
Organisation at this address
Georgia Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia