AMANDA LARISCEY

VIDALIA, GA
NPI1780164590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-08-21
Last Update Date2022-01-07
Business Address
AMANDA LARISCEY PA-C
122 ALICE COLEMAN DRIVE
VIDALIA, GA 30474
Phone number: 912-805-2273
Mailing Address
AMANDA LARISCEY PA-C
PO BOX 2324
VIDALIA, GA 30475-2324
Phone number:
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