Individual
AMANDA DAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1566 MONMOUTH DR STE 101, LANCASTER, OH 43130-8048
(740) 687-1177
Mailing address
1566 MONMOUTH DR STE 101, LANCASTER, OH 43130-8048
(740) 687-1177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006613RX
OH
Other
Enumeration date
11/03/2020
Last updated
01/07/2024
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