Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 059000 | GA |
NPI | 1366628729 |
---|---|
Provider Name | Dr. Amanda Pierzchala |
First Address | Lawrenceville, GA 30046-7694 |
Second Address | Lawrenceville, GA 30046-7694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2008 |
Last Update Date | 22/06/2010 |