Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 63463 | GA |
NPI | 1205138757 |
---|---|
Provider Name | Dr. Amanda Eileen Harpring |
First Address | Atlanta, GA 30326-1031 |
Second Address | Atlanta, GA 30326-1031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2010 |
Last Update Date | 02/12/2010 |