IndividualActive
Amanda Ward, PHYSICIAN ASSISTANT
NPI 1316059793 · Physician Assistant · Lagrange, GA
Provider details
- NPI number
- 1316059793
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 002752 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1605 Whitesville St
Lagrange, GA 30240-5903
Phone: (706) 882-5119
Fax: (706) 882-0270
Approximate (ZIP-level) locationGet directions
Mailing address
1605 Whitesville St
Lagrange, GA 30240-5903
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.