Individual
AMANDA NICOLE CENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 ASHVILLE AVE STE 440, CARY, NC 27518-6600
(919) 350-8585
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07739
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417480302
—
NC
Enumeration date
04/06/2017
Last updated
10/25/2022
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