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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA MATHEWS VICZNESKY, PA

Active

AMANDA MATHEWS VICZNESKY, PA is a Physician Assistant healthcare provider located in AUSTELL, Georgia. NPI 1174177752 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AUSTELL, GA

Registration Details

NPI Number
1174177752
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2019 (7.0577014145619 yrs)
Last Updated
Aug 7, 2023
License
9456 (GA)

Practice Information

Address
3950 AUSTELL RD
AUSTELL, GA, 301061121
Browse GA providers · Browse ZIP 30106
Phone
4707324000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in AUSTELL, GA

Name Credential NPI
MR. BRANDON D WEST PA 1871598425
MS. ELIZABETH P RAMBO PA-C 1912991464
KENNETH C. HOLBROOK PA 1194790139
MS. MELISSA ELLEN JONES-ASHMORE P. A. - C. 1659347045
STACY H. KENDRICK PA 1821064395
ALAN THOMAS KIPPENY PA-C 1487680849
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.