Individual
FRED AMEMATSRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
37 WEXFORD CIR, THOMASVILLE, NC 27360-4980
(336) 762-0099
(336) 762-0099
Mailing address
37 WEXFORD CIR, THOMASVILLE, NC 27360-4980
(336) 762-0099
(336) 762-0099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008578
NC
Other
Enumeration date
04/14/2016
Last updated
02/09/2021
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