Search › Georgia › 363A00000X
Amanda Lariscey, PA-C
NPI 1780164590 · on the registry since 2018
Practice
- Address
- 122 Alice Coleman Drive
Vidalia, GA 30474 - Phone
- (912) 805-2273
- Organisation at this address
- Vidalia Immediate & Primary Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Female
- Record last updated
- 2022-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia