Amanda Gayle Dickey
Physician Assistant, Medical in Columbus, OH. Individual provider (NPI-1).
NPI number1295381069
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1295381069
- Entity type
- Individual (NPI-1)
- Name
- Amanda Gayle Dickey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2019
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 50.007537RX | OH | Yes |
Practice location
4715 Hilton Corporate DriveColumbus, OH 43232-4152
Phone 614-647-2000 · Fax 828-287-4320
Mailing address
4715 Hilton Corporate DrColumbus, OH 43232-4152
Phone 614-647-2000
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