Amanda A Sanders PA-C

NPI 1417292004 - Physician Assistant - 363AM0700X

NPI Details
NPI 1417292004
Gender Female
Enumeration Date 12/07/2012
Last Updated 02/07/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
2171 NORTHLAKE PKWY STE 100
TUCKER GA, 30084-4104, US
Phone (404) 296-8000
Fax
Business Location
2171 NORTHLAKE PKWY STE 100
TUCKER GA, 30084-4104, US
Phone (404) 296-8000
Fax (770) 493-6842
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 5921
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According to our database, Mrs. Amanda A Sanders PA-C NPI is 1417292004, taxonomy code is 363AM0700X and license number is 5921, license state is located at Georgia. Amanda A Sanders PA-C physically located at 2171 Northlake Pkwy Ste 100, Tucker GA, 30084-4104. NPI Number Amanda A Sanders PA-C has the Individual type.

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1417292004 NPI number is provided on an as is basis without warranty of any kind. 1417292004 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda A Sanders PA-C are for informational purposes only.