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1598459380
AMANDA POROCH
GAINESVILLE, GA
NPI
1598459380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 11713)
Enumeration Date
2023-06-06
Last Update Date
2023-08-28
Business Address
AMANDA POROCH PA
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501-3444
Phone number: 770-219-3202
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Mailing Address
AMANDA POROCH PA
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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