Individual
AMANDA MARIA BAHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
647 DUNLOP LN STE 210, CLARKSVILLE, TN 37040-5165
(931) 502-3810
(931) 502-2512
Mailing address
647 DUNLOP LN STE 210, CLARKSVILLE, TN 37040-5165
(931) 502-3810
(931) 502-2512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5867
TN
Other
Enumeration date
12/28/2023
Last updated
04/22/2024
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