Individual
AMY PHELPS METHVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
326 N LOCUST AVE, SUITE B, LAWRENCEBURG, TN 38464-3516
(931) 762-9797
(931) 762-9798
Mailing address
1069 POWDERMILL HILL ROAD, LAWRENCEBURG, TN 38464
(931) 279-3377
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
20431
CA
363AS0400X
Surgical Physician Assistant
Primary
PA1430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508540
—
TN
Enumeration date
04/07/2006
Last updated
12/23/2015
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