Individual
AMANDA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E MAIN ST, MANNINGTON, WV 26582-1278
(304) 986-2996
Mailing address
PO BOX 1615, MORGANTOWN, WV 26507-1615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
02/20/2025
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