Amanda Mathews Vicznesky, PA

NPI #1174177752 in Austell, Georgia

Provider Information

NPI Number: 1174177752
Entity Type: Individual
Name: Amanda Mathews Vicznesky, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 31, 2019
Last Updated: Aug 7, 2023

Practice Location

Address: 3950 AUSTELL RD
City: Austell
State: Georgia
ZIP Code: 30106-1121
Phone: (470) 732-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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