person
Amanda S Smith, PA
Medical Physician Assistant in Waycross, Georgia
NPI 1316043227

Amanda S Smith is a Medical Physician Assistant based in Waycross, GA and is specialized in Medical. Amanda S Smith practices in Waycross, GA and has the professional credentials of PA. The NPI Number for Amanda S Smith is 1316043227 and holds a License No. PA9103832 (Georgia).

The current practice location address for Amanda S Smith is 700 Riverside Ave, Waycross, GA and can be reached out via phone at 912-490-8546 and via fax at 877-221-0052.

Location: 700 Riverside Ave, Waycross, GA, 31501-5358
person
Provider Profile Details
NPI Number
1316043227
Provider Name
Amanda S Smith
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
700 Riverside Ave, Waycross, GA, 31501-5358
Phone Number
912-490-8546
Fax Number
877-221-0052
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292817500 05 FL
003130352C 05 GA
institution
Provider Business Practice Location Address Details
Address
700 Riverside Ave
City
State
Zip
31501-5358
Phone Number
912-490-8546
Fax Number
877-221-0052
person
Provider Business Mailing Address Details
Address
700 Riverside Ave
City
State
Zip
31501-5358
Phone Number
912-490-8546
Fax Number
877-221-0052
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103832 (Florida)
Definition
Definition to come...
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