Individual
MRS. AMANDA KAYE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 E MILLTOWN RD STE 101, WOOSTER, OH 44691-6108
(330) 287-2595
Mailing address
128 E MILLTOWN RD STE 101, WOOSTER, OH 44691-6108
(330) 287-2595
(330) 202-3487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076397
—
OH
Enumeration date
10/15/2012
Last updated
07/21/2022
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