Individual
MRS. AMANDA SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114C MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-9688
(910) 353-7498
Mailing address
PO BOX 986513, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05557
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861882508
—
NC
Enumeration date
02/03/2015
Last updated
11/06/2023
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