Organization
WEST FORSYTH PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ANNE ZIMMERMAN PA-C (PHYSICIAN ASSISTANT)
(336) 740-9444
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD, SUITE 211, CLEMMONS, NC 27012-8110
(336) 740-9444
(336) 740-9445
Mailing address
2554 LEWISVILLE CLEMMONS RD, SUITE 211, CLEMMONS, NC 27012-8110
(336) 740-9444
(336) 740-9445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101887
NC
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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