Amanda Stephanie Martin PA-C, MMS

NPI 1740447986 - Physician Assistant - 363A00000X

NPI Details
NPI 1740447986
Gender Female
Enumeration Date 05/16/2008
Last Updated 12/29/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
195 KING AVE
ATHENS GA, 30606-0000, US
Phone (706) 549-8306
Fax (706) 549-8351
Business Location
195 KING AVE
ATHENS GA, 30606, US
Phone (706) 549-8306
Fax (706) 549-8351
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9104515
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According to our database, Mrs. Amanda Stephanie Martin PA-C, MMS NPI is 1740447986, taxonomy code is 363A00000X and license number is PA9104515, license state is located at Florida. Amanda Stephanie Martin PA-C, MMS physically located at 195 King Ave, Athens GA, 30606-0000. NPI Number Amanda Stephanie Martin PA-C, MMS has the Individual type.

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1740447986 NPI number is provided on an as is basis without warranty of any kind. 1740447986 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Stephanie Martin PA-C, MMS are for informational purposes only.