Individual
AMANDA DICAPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
834 ELLYSON DR, SPRING HILL, TN 37174-0689
(931) 629-6947
Mailing address
834 ELLYSON DR, SPRING HILL, TN 37174-0689
(931) 629-6947
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
1002412132
TN
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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