Von Der Schulenburg, Amanda Graefin

Von Der Schulenburg, Amanda Graefin is an individual health care provider with primary practice located at 5673 Peachtree Dunwoody Rd Suite 870, Atlanta GA 30342. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Von Der Schulenburg, Amanda Graefin can be contacted via phone (404) 255-2975.

Contact Information

Primary practice address
5673 Peachtree Dunwoody Rd Suite 870 Atlanta GA 30342
Phone: (404) 255-2975
Fax: (404) 255-2276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003997 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003997 Georgia

Profile Details

NPI number 1619951985
LBN Legal business name Von Der Schulenburg, Amanda Graefin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 1st, 2009 - about 15 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 1619951985 NPPES
Georgia MEDICAID 498718801A

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