Individual
AMANDA BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153
(540) 776-2020
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006386
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00372527
—
MS
05
—
2398377
—
LA
Enumeration date
07/23/2015
Last updated
11/13/2018
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