Amanda Ruth Seagraves PA C

NPI 1457681900 - Physician Assistant - 363A00000X

NPI Details
NPI 1457681900
Gender Female
Enumeration Date 01/06/2010
Last Updated 02/02/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
961 SPRING CREEK RD.
CHATTANOOGA TN, 37412, US
Phone (423) 892-2221
Fax (423) 490-3407
Business Location
961 SPRING CREEK RD.
CHATTANOOGA TN, 37412, US
Phone (423) 892-2221
Fax (423) 490-3407
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA06504
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According to our database, Miss Amanda Ruth Seagraves PA C NPI is 1457681900, taxonomy code is 363A00000X and license number is PA06504, license state is located at Texas. Amanda Ruth Seagraves PA C physically located at 961 Spring Creek Rd., Chattanooga TN, 37412. NPI Number Amanda Ruth Seagraves PA C has the Individual type.

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1457681900 NPI number is provided on an as is basis without warranty of any kind. 1457681900 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Ruth Seagraves PA C are for informational purposes only.