NPI 1013508167

Amanda Marie Tyra, PAC

Practitioner Physician Assistant Augusta, GA

Practice location

Address: 1120 15th St # Ad-2226, Augusta, GA 30912-0004
Phone: (706) 446-4887
Fax: (706) 723-0382

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10133 (GA)

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1013508167
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2021
Record last updated: 16 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.