AMANDA MATHEWS VICZNESKY

AUSTELL, GA
NPI1174177752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9456)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-07-31
Last Update Date2023-08-07
Business Address
AMANDA MATHEWS VICZNESKY PA
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 470-732-4000
Mailing Address
AMANDA MATHEWS VICZNESKY PA
110 IVY BROOK DR
DALLAS, GA 30157-5523
Phone number: 217-357-4592
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