Individual
AMANDA J SIBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
(770) 422-7231
Mailing address
3260 SAN JACINTO ST, UNIT 107, DALLAS, TX 75204
(513) 604-8549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11048
GA
363A00000X
Physician Assistant
PA7223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MA
Enumeration date
08/30/2019
Last updated
02/17/2026
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