Provider Demographics
NPI:1568134310
Name:AMAUWIA AMA NURSING SERVICES
Entity Type:Organization
Organization Name:AMAUWIA AMA NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKIVIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN-RN
Authorized Official - Phone:678-463-5695
Mailing Address - Street 1:961 HEATHCHASE DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3622
Mailing Address - Country:US
Mailing Address - Phone:678-463-5695
Mailing Address - Fax:404-393-4148
Practice Address - Street 1:961 HEATHCHASE DR
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-3622
Practice Address - Country:US
Practice Address - Phone:167-846-3569
Practice Address - Fax:404-393-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service