Lariscey, Amanda

Lariscey, Amanda is an individual health care provider with primary practice located at 122 Alice Coleman Drive , Vidalia GA 30474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lariscey, Amanda can be contacted via phone (912) 805-2273.

Contact Information

Primary practice address
122 Alice Coleman Drive Vidalia GA 30474
Phone: (912) 805-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1780164590
LBN Legal business name Lariscey, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Jan 7th, 2022 - about 3 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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