Individual
AMANDA MCCARTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4848 NE STALLINGS DR, SUITE 205, NACOGDOCHES, TX 75965-1239
(936) 560-6939
(936) 564-1258
Mailing address
363 COUNTY ROAD 776, DOUGLASS, TX 75943-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02573
TX
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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