Individual
DR. AMANDA RAYA PARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1509 DOCTORS CIR BLDG C, WILMINGTON, NC 28401-7403
(910) 662-7500
(910) 662-7501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-7500
(910) 662-7501
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
ME124831
FL
2084A2900X
Neurocritical Care Physician
NCC4114
NC
2084N0400X
Neurology Physician
Primary
1044456
NC
2084N0400X
Neurology Physician
ME124831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015345500
—
FL
Enumeration date
06/16/2009
Last updated
06/17/2022
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