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Amanda Carpenter Close, APRN,CPNP-PC
Pediatric Nurse Practitioner in Lagrange, Georgia
NPI 1427588169

Amanda Carpenter Close is a Pediatric Nurse Practitioner based in Lagrange, GA and is specialized in Pediatrics. Amanda Carpenter Close practices in Lagrange, GA and has the professional credentials of APRN,CPNP-PC. The NPI Number for Amanda Carpenter Close is 1427588169 and holds a License No. RN220550 (Georgia).

The current practice location address for Amanda Carpenter Close is 301 Medical Dr Ste 504, Lagrange, GA and can be reached out via phone at 404-518-7817.

Location: 301 Medical Dr Ste 504, Lagrange, GA, 30240-2644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427588169
Provider Name
Amanda Carpenter Close
Credential
APRN,CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
301 Medical Dr Ste 504, Lagrange, GA, 30240-2644
Phone Number
404-518-7817
Fax Number
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Medical Dr Ste 504
City
Lagrange
State
Georgia
Zip
30240-4172
Phone Number
404-518-7817
Fax Number
person
Provider Business Mailing Address Details
Address
301 Medical Dr Ste 504
City
Lagrange
State
Georgia
Zip
30240-4172
Phone Number
404-518-7817
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN220550 (Georgia)
Definition
Definition to come...
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