Hale, Amanda Knauer

Hale, Amanda Knauer is an individual health care provider with primary practice located at 114 Sutherlin Dr Ste 1C , Warner Robins GA 31088-2259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hale, Amanda Knauer can be contacted via phone (478) 287-6144.

Contact Information

Primary practice address
114 Sutherlin Dr Ste 1C Warner Robins GA 31088-2259
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5964 Georgia

Profile Details

NPI number 1235432519
LBN Legal business name Hale, Amanda Knauer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Nov 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235432519 NPPES
Georgia MEDICAID 003126689B
Georgia MEDICAID 003126689A

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