Individual
MRS. AMANDA D. POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
275 BETHESDA DR, GREENVILLE, NC 27834-7217
(252) 752-5077
Mailing address
275 BETHESDA DR, GREENVILLE, NC 27834-7217
(252) 752-5077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03544
NC
363A00000X
Physician Assistant
0110002055
VA
363A00000X
Physician Assistant
C0004518
MD
Other
Enumeration date
07/19/2006
Last updated
01/04/2022
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