| Doctor Name: | AMANDA PARNACOTT ROUFS |
| NPI Number: | 1114393949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | RN159903 |
| Business Practice Address: | 420 Johnson St Se Se Dawson, GA - 398421523 |
| Business Phone Number: | 2299952990 |
| Business Fax Number: | 2299952993 |
| Mailing Address: | 204 N Westover Blvd, ALBANY |
| State: | GA |
| Postal Code: | 317072983 |
| Phone Number: | 2298886559 |
| Fax Number: | 2294364107 |
| NPI Enumeration Date: | 08/16/2015 |
| NPI Last Update Date: | 08/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN159903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |