Sowisdral, Amanda Bostock

Sowisdral, Amanda Bostock is an individual health care provider with primary practice located at 250 Parkbrooke Pl Ste 300 , Woodstock GA 30189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sowisdral, Amanda Bostock can be contacted via phone (770) 442-1911.

Contact Information

Primary practice address
250 Parkbrooke Pl Ste 300 Woodstock GA 30189
Phone: (770) 442-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1083133912
LBN Legal business name Sowisdral, Amanda Bostock
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Jan 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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