Individual
AMANDA R WHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 HIGHWAY 142, SELMER, TN 38375-6631
(731) 610-1221
Mailing address
152 HIGHWAY 142, SELMER, TN 38375-6631
(731) 610-1221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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