Individual
AMANDA LYNNE BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901
(706) 724-8611
(706) 724-6202
Mailing address
PO BOX 925, AUGUSTA, GA 30903-0925
(706) 724-8611
(706) 724-6202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006596
GA
Other
Enumeration date
02/12/2013
Last updated
11/06/2018
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