Individual
AMANDA PIWOWARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11131 JOURNAL PKWY, KING GEORGE, VA 22485-3468
(540) 709-5173
Mailing address
11131 JOURNAL PKWY, KING GEORGE, VA 22485-3468
(540) 709-5173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
12/03/2020
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