Individual
AMANDA WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
89 COWLEY HOLLOW RD, FAYETTEVILLE, TN 37334-6947
(931) 625-3044
Mailing address
89 COWLEY HOLLOW RD, FAYETTEVILLE, TN 37334-6947
(931) 625-3044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
SC
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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