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Amanda Michelle Lauderback, NP
Women's Health Nurse Practitioner in Atlanta, Georgia
NPI 1417295601

Amanda Michelle Lauderback is a Women's Health Nurse Practitioner based in Atlanta, GA and is specialized in Women's Health. Amanda Michelle Lauderback practices in Atlanta, GA and has the professional credentials of NP. The NPI Number for Amanda Michelle Lauderback is 1417295601 and holds a License No. RN186980 (Georgia).

The current practice location address for Amanda Michelle Lauderback is 275 Collier Rd Nw Ste 100C, Atlanta, GA and can be reached out via phone at 404-355-0320 and via fax at 404-351-0909.

Location: 275 Collier Rd Nw Ste 100C, Atlanta, GA, 30309-1700
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Provider Profile Details
NPI Number
1417295601
Provider Name
Amanda Michelle Lauderback
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
275 Collier Rd Nw Ste 100C, Atlanta, GA, 30309-1700
Phone Number
404-355-0320
Fax Number
404-351-0909
Provider Enumeration Date
01/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN186980 01 GA MEDICAL LICENSE
003131811A 01 GA MEDICAID
institution
Provider Business Practice Location Address Details
Address
275 Collier Rd Nw Ste 100C
City
State
Zip
30309-1700
Phone Number
404-355-0320
Fax Number
404-351-0909
person
Provider Business Mailing Address Details
Address
275 Collier Rd Nw Ste 100C
City
State
Zip
30309-1700
Phone Number
404-355-0320
Fax Number
404-351-0909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
RN186980 (Georgia)
Definition
Definition to come...
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