Individual
AMANDA COOKSEY PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2827 LYNDHURST AVE STE 203, WINSTON SALEM, NC 27103-4145
(336) 794-8624
(336) 231-8845
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 794-8624
(336) 231-8845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11375
NC
Other
Enumeration date
06/22/2021
Last updated
11/05/2025
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