Individual
AMANDA KORZEP WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(606) 831-0392
Mailing address
601 SASSER ST, RALEIGH, NC 27604-1919
(606) 831-0392
(573) 884-5994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2015017262
MO
207P00000X
Emergency Medicine Physician
Primary
2018-01533
NC
Other
Enumeration date
06/11/2015
Last updated
12/13/2024
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