Individual
AMANDA GRACE FLEENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1583 N MAIN ST, MARION, VA 24354-4317
(276) 781-2090
(276) 781-0866
Mailing address
1583 N MAIN ST, MARION, VA 24354-4317
(276) 781-2090
(276) 781-0866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005093
VA
Other
Enumeration date
09/30/2015
Last updated
02/16/2016
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