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Contact Information

AMANDA S PIPKIN, PA
247 ADAMS DRIVE
DEMOREST, GA30535
 Phone: 706-839-4096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA S PIPKIN · (Female)

NPI Number 1841464732
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/22/2008
Last updated 12/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 1715
  • GA License # 5323
  • GA Medicaid 602701555B
  • GA Medicaid 602701555C
  • GA Medicaid 602701555D
  • GA Medicaid 602701555E
  • GA Other 01457792 AMERIGROUP
  • GA Other 610308 WELLCARE
Hospital affiliation(s)
  • HABERSHAM COUNTY MEDICAL CTR - (Acute Care)
    541 HISTORIC HIGHWAY 441-NORTH
    DEMOREST, GA 30535
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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