Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
104 TILGHMAN DR, DUNN, NC 28334-5533
(910) 892-1333
(910) 892-2929
Mailing address
104 TILGHMAN DR, DUNN, NC 28334-5533
(910) 892-1333
(910) 892-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0010-08338
NC
363A00000X
Physician Assistant
Primary
0010-08338
NC
Other
Enumeration date
09/10/2018
Last updated
03/31/2022
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