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Amanda Gayle Petty, APRN
Primary Care Nurse Practitioner in Waycross, Georgia
NPI 1174301386

Amanda Gayle Petty is a Primary Care Nurse Practitioner based in Folkston, GA and is specialized in Primary Care. Amanda Gayle Petty practices in Waycross, GA and has the professional credentials of APRN. The NPI Number for Amanda Gayle Petty is 1174301386 and holds a License No. RN222648 (Georgia).

The current practice location address for Amanda Gayle Petty is 3620 Harris Rd, Waycross, GA and can be reached out via phone at 912-287-4856.

Location: 3620 Harris Rd, Waycross, GA, 31537-2926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174301386
Provider Name
Amanda Gayle Petty
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3620 Harris Rd, Waycross, GA, 31537-2926
Phone Number
912-287-4856
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3620 Harris Rd
City
Waycross
State
Georgia
Zip
31503-0311
Phone Number
912-287-4856
Fax Number
person
Provider Business Mailing Address Details
Address
3620 Harris Rd
City
Waycross
State
Georgia
Zip
31503-0311
Phone Number
912-287-4856
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN222648 (Georgia)
Definition
Definition to come...
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