Individual
AMANDA WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
255 W LANCASTER AVE, SUITE 331, MOB3, PAOLI, PA 19301-1763
(484) 527-2232
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065609
PA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/11/2024
Last updated
12/09/2024
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