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Individual

AMANDA GADDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2913 AUDREY DR, GASTONIA, NC 28054-7269
(828) 220-3544
Mailing address
258 FRANK STONER RD, LEXINGTON, NC 27292-6359
(252) 808-5251

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255101
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
5012927
NC
363LF0000X
Family Nurse Practitioner
5012927
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012927
NC

Other

Enumeration date
02/03/2020
Last updated
09/09/2022
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