Individual
MRS. AMANDA GRAEFIN VON DER SCHULENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003997
GA
363AS0400X
Surgical Physician Assistant
Primary
003997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498718801A
—
GA
Enumeration date
12/01/2005
Last updated
10/01/2009
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