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Amanda Hardeman
NPI 1235891623 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4442 Rock Valley Dr
Forest Park, GA 30297 - Phone
- (404) 713-2916
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-12
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