Individual
MRS. AMANDA KAY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4550 LEE HWY STE C, DUBLIN, VA 24084-3802
(540) 980-9660
(540) 639-0976
Mailing address
4550 LEE HWY STE C, DUBLIN, VA 24084-3802
(540) 980-9660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110004086
—
VA
Enumeration date
01/11/2013
Last updated
01/13/2022
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