Amy Dietz N.P.

NPI 1861469488 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1861469488
Gender Female
Enumeration Date 03/02/2006
Last Updated 10/08/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
300 HOSPITAL RD
CONNELLY HEALTH CLINIC
FORT GORDON GA, 30905-5650, US
Phone (706) 787-5161
Fax
Business Location
300 HOSPITAL RD
CONNELLY HEALTH CLINIC
FORT GORDON GA, 30905-5650, US
Phone (706) 787-5161
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN129166NP
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According to our database, Amy Dietz N.P. NPI is 1861469488, taxonomy code is 363L00000X and license number is RN129166NP, license state is located at Georgia. Amy Dietz N.P. physically located at 300 Hospital Rd, Fort Gordon GA, 30905-5650. NPI Number Amy Dietz N.P. has the Individual type.

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1861469488 NPI number is provided on an as is basis without warranty of any kind. 1861469488 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Dietz N.P. are for informational purposes only.