Individual
MRS. AMANDA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-5486
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-1518
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01427
WV
Other
Enumeration date
02/27/2012
Last updated
10/09/2023
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