Individual
AMANDA D. HADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3415 MACCORKLE AVE SE, CHARLESTON, WV 25304-1334
(304) 388-8380
(304) 388-8395
Mailing address
3415 MACCORKLE AVE SE, CHARLESTON, WV 25304-1334
(304) 388-8380
(304) 388-8395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66449
WV
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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