Individual
AMANDA LUCRETIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
2711 BUFORD RD STE 122, NORTH CHESTERFIELD, VA 23235-2423
(470) 610-1342
Mailing address
2711 BUFORD RD STE 122, NORTH CHESTERFIELD, VA 23235-2423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110006260
VA
Other
Enumeration date
06/07/2018
Last updated
04/04/2024
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