Individual
AMANDA KAYE MCGARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 REGIONAL DR, PINEHURST, NC 28374-8850
(910) 295-9207
(910) 235-3432
Mailing address
205 PAGE ROAD, PINEHURST, NC 28374-8798
(910) 295-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01335
NC
363A00000X
Physician Assistant
148128
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FH4001250
FIRST MEDICARE DIRECT
NC
01
—
P01162080
R/R MEDICARE
NC
Enumeration date
11/06/2008
Last updated
01/25/2018
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