NPI 1194004358

Amanda Golson Truesdale

Practitioner Private Vehicle Stone Mountain, GA

Practice location

Address: 5518 Stoneleigh CT, Stone Mountain, GA 30088-3433
Phone: (404) 542-7999

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 024176418 (GA)

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Registry record

NPI: 1194004358
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2011
Record last updated: 5 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.