Individual
MRS. MANDY KALE EICHENLAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 KING AVE, ATHENS, GA 30606-2838
(706) 425-2400
(706) 425-2410
Mailing address
830 KING AVE, ATHENS, GA 30606-2838
(706) 425-2400
(706) 425-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003105741A
—
GA
Enumeration date
07/08/2010
Last updated
08/19/2024
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