Individual
AMANDA HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 374-7701
Mailing address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-7700
(740) 374-7701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005022RX
OH
363AM0700X
Medical Physician Assistant
10001898A
IN
Other
Enumeration date
08/28/2015
Last updated
03/04/2025
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