MANDRIA FUQUA, PA-C

Physician Assistant

Active Individual
NPI: 1760483697

Practice Address

2137 LAKESIDE DR
SUITE 100
Lynchburg, VA 24501

Phone: (434) 385-4184

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 104177 (NC)
Physician Assistant 363A00000X Yes 0110002029 (VA)

Frequently Asked Questions

NPI 1760483697 is the National Provider Identifier for MANDRIA FUQUA, PA-C, a Physician Assistant provider located in Lynchburg, VA. This NPI was enumerated on August 2, 2005.
MANDRIA FUQUA, PA-C practices at 2137 LAKESIDE DR, SUITE 100, Lynchburg, VA 24501.

Quick Facts

NPI
1760483697
Type
Individual
Enumerated
Aug 2, 2005
Last Updated
Aug 14, 2013

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