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Individual

AMANDA G MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8068 MARKET ST, WILMINGTON, NC 28411-9384
(910) 796-7767
(910) 686-7159
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-1540
(910) 431-4048

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14830
NC
363A00000X
Physician Assistant
MA060569
PA
363A00000X
Physician Assistant
OA004795
PA

Other

Enumeration date
05/07/2019
Last updated
02/19/2025
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