Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDRIA L FUQUA, PA-C
ActivePhysician Assistant · LYNCHBURG, VA
Registration Details
- NPI Number
- 1760483697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2005 (20.724546537909 yrs)
- Last Updated
- Aug 14, 2013
- Licenses
-
104177 (NC)0110002029 (VA)
Practice Information
- Address
-
2137 LAKESIDE DRSUITE 100LYNCHBURG, VA, 245016806Browse VA providers · Browse ZIP 24501
- Phone
- 4343854184
- Fax
- 4343858616
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LYNCHBURG, VA
| Name | Credential | NPI |
|---|---|---|
| KAMAL A CHANTAL | PA-C | 1104817568 |
| MISS SARA ESKRIDGE | PA | 1972585768 |
| MRS. ANDREA L ADAMCZAK | PA | 1477535938 |
| GENE BENJAMIN BAKER | PA | 1033192745 |
| MR. JOHN DEWITT LANGSTON | PA-C | 1598742199 |
| MR. WILLIAM JOSEPH FLUKER | PA-C | 1386622165 |
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.