Amanda H Ward
SOUTHEASTERN DERMATOLOGY GROUP PA


Address: 1605 Whitesville St, Lagrange, GA 30240-5903
Phone: 7068825119

Amanda H Ward (NPI# 1316059793, PAC ID# 1759389109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1316059793
PAC ID by PECOS 1759389109
Professional Enrollment ID I20061117000474
Full Name Amanda H Ward
Organization Legal Name SOUTHEASTERN DERMATOLOGY GROUP PA
Address 1605 Whitesville St
Lagrange
GA 30240-5903
Phone Number 7068825119
Gender F
Credential PA
Graduation Year 1995
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 9931277233
Number of Group Practice Members 32
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010029 EAST ALABAMA MEDICAL CENTER AND SNF

Other Locations

Address Phone Organization
4360 Chamblee Dunwoody Rd, Suite 260, Atlanta, GA 30341-1055 8502333376 SOUTHEASTERN DERMATOLOGY GROUP PA
1543 Professional Pkwy, Auburn, AL 36830-2858 8502333376 SOUTHEASTERN DERMATOLOGY GROUP PA
106 Westside Dr, Dothan, AL 36303-0106 3346993376 SOUTHEASTERN DERMATOLOGY GROUP PA
1605 Whitesville St, Lagrange, GA 30240-5903 7068825119 SOUTHEASTERN DERMATOLOGY GROUP PA

Organization Information

Organization Legal Name SOUTHEASTERN DERMATOLOGY GROUP PA
Physicians 32

Physicians with the same organization

Name Specialty Organization Address
Megan E Deselms Physician Assistant Southeastern Dermatology Group Pa 2010 E Johnson Ave, Pensacola, FL 32514-6027
Josh A Hammel Dermatology Southeastern Dermatology Group Pa 1605 Whitesville St, Lagrange, GA 30240-5903
Hannah Garnett Nurse Practitioner Southeastern Dermatology Group Pa 201 A Longwood Dr Se, Huntsville, AL 35801-2742
John Phillips Dermatology Southeastern Dermatology Group Pa 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216
Amy S West Physician Assistant Southeastern Dermatology Group Pa 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831
Rachel E Brooks Physician Assistant Southeastern Dermatology Group Pa 989 Elba Hwy, Troy, AL 36079-6050
Jeffrey B Stricker Dermatology Southeastern Dermatology Group Pa 1474 Market St, Tallahassee, FL 32312-1768
Carole C Lane Internal Medicine Southeastern Dermatology Group Pa 106 Westside Dr, Dothan, AL 36303-0106
Garin D Barth Dermatology Southeastern Dermatology Group Pa 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662
Lauren E Miller Physician Assistant Southeastern Dermatology Group Pa 101 Cherry St, Gadsden, AL 35901-5234

Office Location

Street Address 1605 WHITESVILLE ST
City LAGRANGE
State GA
Zip 30240-5903

Physicians in the same location

Name Specialty Organization Address
Josh A Hammel Dermatology Southeastern Dermatology Group Pa 1605 Whitesville St, Lagrange, GA 30240-5903

Physicians in the same zip code

Name Specialty Organization Address
Swaroop N Nyshadham General Practice 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404
James B Brown Optometry 803 New Franklin Rd, Lagrange, GA 30240-1843
Stephan M Langston Chiropractic 403 Ridley Ave, Lagrange, GA 30240-2231
Shannon K Dunlap Psychologist, Clinical 610 Ridley Ave, Lagrange, GA 30240-2236
Ashley Miller Nurse Practitioner Georgia Pain and Spine Care, Inc 303 Smith St, Fl 2, Lagrange, GA 30240-2745
Kent Remley Interventional Radiology Georgia Pain and Spine Care, Inc 303 Smith St, Fl 2, Lagrange, GA 30240-2745
Jerry M Overall Optometry 208 Smith St, Lagrange, GA 30240-2755
Margaret Darden Brown Clinical Social Worker 100 Smith St, Suite 1, Lagrange, GA 30240-2780
James R Aspinwall Chiropractic Aspinwall Chiropractic Clinic, L.L.C. 302 S Greenwood St, Lagrange, GA 30240-3122
David P Dresselhaus Chiropractic Aspinwall Chiropractic Clinic, L.L.C. 302 S Greenwood St, Lagrange, GA 30240-3122
Find all physicians in zip 30240

Competitor

Search similar physicians

City LAGRANGE
Zip Code 30240
Specialty PHYSICIAN ASSISTANT
City + Specialty LAGRANGE + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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