Individual
AMANDA RAE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2217 CHESTERFIELD DR, MARYVILLE, TN 37803-6536
(812) 699-0062
Mailing address
2217 CHESTERFIELD DR, MARYVILLE, TN 37803-6536
(812) 699-0062
(812) 699-0062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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