Individual
DR. AMANDA HAM SIE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1913 JN PEASE PL, STE 201, CHARLOTTE, NC 28262-4556
(704) 548-9888
(704) 548-0077
Mailing address
1913 JN PEASE PL, STE 201, CHARLOTTE, NC 28262-4556
(704) 548-9888
(704) 548-0077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909Z3V
—
NC
Enumeration date
01/06/2006
Last updated
07/08/2007
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