Individual
MRS. AMANDA SHIANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9961 E COUNTY HIGHWAY 30A, STE 5, PANAMA CITY BEACH, FL 32461-7282
(850) 231-9286
(850) 231-9286
Mailing address
9961 E COUNTY HIGHWAY 30A, STE 5, SEACREST, FL 32461-7282
(850) 231-9286
(850) 231-9287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105932
FL
363AM0700X
Medical Physician Assistant
001001125
NC
Other
Enumeration date
10/25/2007
Last updated
09/21/2016
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