Healthcare Provider Details

I. General information

NPI: 1457807778
Provider Name (Legal Business Name): AMRITA KAUR SINGH R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 STONE HOGAN CONNECTOR RD SW BLDG A
ATLANTA GA
30331-2837
US

IV. Provider business mailing address

113 SPRINGVALLEY CIR
STOCKBRIDGE GA
30281-2621
US

V. Phone/Fax

Practice location:
  • Phone: 404-781-2800
  • Fax:
Mailing address:
  • Phone: 404-713-6860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number144958
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: