Amanda Lariscey, PA-C

NPI #1780164590 in Vidalia, Georgia

Provider Information

NPI Number
1780164590
Entity Type
Individual
Name
Amanda Lariscey, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 21, 2018
Last Updated
Jan 7, 2022

Practice Location

Address
122 ALICE COLEMAN DRIVE
State
Georgia
ZIP Code
30474
Phone
(912) 805-2273

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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