Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LARISCEY, PA-C
ActiveAMANDA LARISCEY, PA-C is a Physician Assistant healthcare provider located in VIDALIA, Georgia. NPI 1780164590 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VIDALIA, GA
Registration Details
- NPI Number
- 1780164590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2018 (7.8000837062861 yrs)
- Last Updated
- Jan 7, 2022
Practice Information
- Address
-
122 ALICE COLEMAN DRIVEVIDALIA, GA, 30474Browse GA providers · Browse ZIP 30474
- Phone
- 9128052273
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in VIDALIA, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES R PAYNE | PA C | 1114912524 |
| MR. ARCHIE JOEL CHAMPION III | PA-C | 1710944681 |
| MR. ALEX PIERCE | PA | 1225198823 |
| DIANNE S MIXON | PA-C | 1245376573 |
| MR. BARTLETT EMORY DAVIS | PAC ATC | 1205058948 |
| ZACHARY JORDAN WHITAKER | PA | 1750649653 |
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.