Individual
MRS. AMANDA HOWINGTON WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1605 WHITESVILLE ST, LAGRANGE, GA 30240-5903
(706) 882-5119
(706) 882-0270
Mailing address
1605 WHITESVILLE ST, LAGRANGE, GA 30240-5903
(706) 882-5119
(706) 882-0270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002752
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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