Individual
AMANDA GRACE DANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
509 N ELAM AVE FL 2, GREENSBORO, NC 27403
(336) 274-1114
(336) 274-9638
Mailing address
509 N ELAM AVE FL 2, GREENSBORO, NC 27403-1157
(336) 274-1114
(336) 274-9638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
104075
NC
363AS0400X
Surgical Physician Assistant
Primary
104075
NC
Other
Enumeration date
06/17/2005
Last updated
06/27/2018
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