Individual
AMANDA L JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 BALD EAGLE WAY, BELCAMP, MD 21017-1712
(410) 575-7180
Mailing address
103 BALD EAGLE WAY, BELCAMP, MD 21017-1712
(410) 575-7180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002773
MD
363AS0400X
Surgical Physician Assistant
C0002773
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00270519
RAILROAD MED
MD
Enumeration date
06/24/2006
Last updated
11/24/2009
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