Individual
AMANDA HERRIN MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, STE B001, COLUMBUS, GA 31904-6808
(706) 324-4891
(706) 324-5425
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
60129
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123464A
—
GA
05
—
003123464B
—
GA
01
—
202I163543
MEDICARE PTAN
GA
Enumeration date
02/09/2007
Last updated
08/07/2024
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