Individual
MRS. AMANDA KNAUER HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 SUTHERLIN DR STE 1C, WARNER ROBINS, GA 31088-2259
(478) 287-6144
Mailing address
114 SUTHERLIN DR STE 1C, WARNER ROBINS, GA 31088-2259
(478) 287-6144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126689A
—
GA
05
—
003126689B
—
GA
Enumeration date
12/08/2010
Last updated
11/17/2015
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