Amanda King LPN

NPI 1740681295 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1740681295
Gender Female
Enumeration Date 09/15/2014
Last Updated 09/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1061 HARMON AVE
FORT STEWART GA, 31314-5641, US
Phone (912) 435-6820
Fax (912) 435-7089
Business Location
1061 HARMON AVE
FORT STEWART GA, 31314-5641, US
Phone (912) 435-6820
Fax (912) 435-7089
Toxanomy
Taxonomy Code 164W00000X
License State Georgia
License Number LPN079582
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According to our database, Ms. Amanda King LPN NPI is 1740681295, taxonomy code is 164W00000X and license number is LPN079582, license state is located at Georgia. Amanda King LPN physically located at 1061 Harmon Ave, Fort Stewart GA, 31314-5641. NPI Number Amanda King LPN has the Individual type.

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1740681295 NPI number is provided on an as is basis without warranty of any kind. 1740681295 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda King LPN are for informational purposes only.