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Individual

MRS. AMANDA BATES SLOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.N., N.P. - C

Contact information

Practice address
1025 MOREHEAD MEDICAL DR FL 3, 3RD FLOOR, CHARLOTTE, NC 28204-2963
(704) 355-4593
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(704) 355-4593

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
195409
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134457252
NC
05
NP1596
SC
Enumeration date
12/01/2009
Last updated
04/27/2017
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