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Individual

AMANDA A DOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
405 SCENIC DR, ROGERSVILLE, TN 37857-2441
(423) 272-2111
(423) 272-7667
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30920
SC
207Q00000X
Family Medicine Physician
Primary
47342
TN

Other

Enumeration date
07/08/2008
Last updated
08/23/2012
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