Most Relevant Information
Provider Data
| NPI Number: | 1003693284 |
| Provider Name: | AMANDA WILKINS CAA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PENDING |
Most Important Dates
| Enumeration Date: | 09/12/2023 |
| Last Updated: | 09/12/2023 |
Provider Practice Location
1199 PRINCE AVE
ATHENS
GA
306062797
Practice Location Phone/Fax
| Phone: | 7065433449 |
| Fax: |
Provider Mailing Location
427 SAWTOOTH CT
KATHLEEN
GA
310472187
Provider Mailing Phone/Fax
| Phone: | 4789577617 |
| Fax: |