Individual
AMANDA LEIGH HARRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 MIDLAKE DR UPPR LEVEL, KNOXVILLE, TN 37918-3002
(865) 687-1973
(833) 908-2091
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4735
TN
Other
Enumeration date
08/17/2020
Last updated
12/11/2021
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