NPI 1376095562 · live from the CMS NPI Registry
Amanda Marie Aguirre-Johnson
Physician Assistant, Medical in Gainesville, GA. National Provider Identifier 1376095562, active.
NPI record
| NPI | 1376095562 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 663 Lanier Park Dr, Gainesville, GA 30501 |
| Practice phone | 678-450-0202 |
| Enumerated | November 4, 2016 |
| Last updated | November 4, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.