AMANDA MITCHELL WAGGONER

WILLIAMSBURG, VA
NPI1477634582
Former NameAMANDA B MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110002368)
Enumeration Date2006-10-17
Last Update Date2024-06-24
Business Address
AMANDA MITCHELL WAGGONER PAC
207 BULIFANTS BLVD STE C
WILLIAMSBURG, VA 23188-5732
Phone number: 757-622-6315
Mailing Address
AMANDA MITCHELL WAGGONER PAC
6160 KEMPSVILLE CIR SUITE 200 A
NORFOLK, VA 23502-3933
Phone number: 757-622-6315