Individual
AMANDA DEADMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR, STE 200, MAGNOLIA OB/GYN, HAMMOND, LA 70403-1426
(985) 230-7650
(985) 230-7655
Mailing address
PO BOX 2666, PROFESSIONAL BILLING SERVICES, HAMMOND, LA 70404-2666
(985) 230-3668
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
329257
LA
Other
Enumeration date
04/11/2018
Last updated
06/18/2024
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