Healthcare Provider Details

I. General information

NPI: 1649436569
Provider Name (Legal Business Name): AMANDA NICOLE BRITT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. AMANDA NICOLE POSTON

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 UNIVERSITY DR
THOMSON GA
30824-0040
US

IV. Provider business mailing address

315 FLUKER ST
THOMSON GA
30824-2108
US

V. Phone/Fax

Practice location:
  • Phone: 706-595-1090
  • Fax: 706-595-6010
Mailing address:
  • Phone: 706-595-1090
  • Fax: 706-595-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number079634
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125-054976
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: