Individual
AMANDA C MCGUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214-3984
(614) 268-8164
(614) 268-8406
Mailing address
3555 OLENTANGY RIVER RD STE 1080, COLUMBUS, OH 43214-3984
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50006574RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419793
—
OH
Enumeration date
04/07/2020
Last updated
07/11/2021
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