Individual
AMANDA RAE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 NEWMAN RD, NEW BERN, NC 28562-5239
(252) 633-2712
(252) 633-5418
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 633-2712
(252) 633-5418
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2022-01723
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
07/13/2022
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