Individual
AMANDA CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 HALLMARK RD, FAYETTEVILLE, NC 28303-2615
(910) 364-1102
Mailing address
417 HALLMARK RD, FAYETTEVILLE, NC 28303-2615
(910) 364-1102
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NC
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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