Most Relevant Information
Provider Data
| NPI Number: | 1003499740 |
| Provider Name: | AMANDA MCGRADY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2021 |
| Last Updated: | 04/30/2021 |
Provider Practice Location
219 SUN ST
BELMONT
WV
261349743
Practice Location Phone/Fax
| Phone: | 3046151073 |
| Fax: |
Provider Mailing Location
219 SUN ST
BELMONT
WV
261349743
Provider Mailing Phone/Fax
| Phone: | 3046151073 |
| Fax: |