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Individual

AMANDA W LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304-3424
(910) 916-3100
Mailing address
401 WEST CHURCH STREET, BENSON, NC 27504
(919) 601-9927

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02166
NC

Other

Enumeration date
02/19/2010
Last updated
02/19/2010
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