Individual
AMANDA POROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501-3444
(770) 219-3202
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11713
GA
Other
Enumeration date
06/06/2023
Last updated
08/28/2023
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