Individual
AMANDA A AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 BLYTHEWOOD DR STE A, COLUMBIA, TN 38401-4828
(931) 381-1920
Mailing address
100 BLYTHEWOOD DR STE A, COLUMBIA, TN 38401-4828
(931) 381-1920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1868
TN
Other
Enumeration date
08/12/2010
Last updated
04/29/2021
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