Individual
AMANDA MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
25 DUNLEITH CT, HATTIESBURG, MS 39402-8866
(662) 719-8400
Mailing address
25 DUNLEITH CT, HATTIESBURG, MS 39402-8866
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC139800
MS
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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