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Individual

AMANDA ROSE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
116 MERIDIAN DR, WOODSTOCK, GA 30188-1604
(770) 880-4541
Mailing address
116 MERIDIAN DR, WOODSTOCK, GA 30188-1604
(770) 880-4541

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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