Individual
AMANDA GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-7000
Mailing address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005353
MD
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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