Individual
MRS. AMANDA LYNN MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1098 W BALTIMORE PIKE, MEDIA, PA 19063-5139
(610) 565-3250
Mailing address
4308A TROPHY DR, UPPER CHICHESTER, PA 19061-2617
(484) 587-3447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/22/2019
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