Individual
MRS. AMANDA GILLELAND APPLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL RD., STE 203, CUMMING, GA 30040
(770) 887-5159
Mailing address
3970 DEPUTY BILL CANTRELL MEMORIAL RD., ST 203, CUMMING, GA 30040
(770) 887-5159
(779) 887-9496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7295
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7295
STATE LICENSE
GA
Enumeration date
06/03/2011
Last updated
12/30/2024
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