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Individual
DR. AMANDA GREEN
Active
Individual
DR. AMANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD0000057026
TN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
57026
TN
Other
Enumeration date
04/15/2015
Last updated
08/29/2022
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