Individual
AMANDA BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4437 STATE ROUTE 159 STE G15, CHILLICOTHE, OH 45601-7065
(740) 779-4598
(740) 779-4599
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148119
—
OH
Enumeration date
10/22/2015
Last updated
11/19/2020
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