Individual
AMBER J REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1305 W WENDOVER AVE, SUITE D, GREENSBORO, NC 27408
(336) 333-9111
(336) 333-2042
Mailing address
1305 W WENDOVER AVE, SUITE D, GREENSBORO, NC 27408
(336) 333-9111
(336) 333-2042
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
103645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00041375
RR MEDICARE
—
Enumeration date
10/05/2006
Last updated
07/08/2007
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