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NPI Code Detail

MEDICARE: AMY HURST PA-C

MEDICARE: AMY HURST PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC0007283MD

General Provider Information

NPI Number : 1861033482
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HURST PA-C
Provider Business Mailing Address
First Line : 2004 ROCK SPRING RD
Second Line :
City : FOREST HILL
State : MD
Zip : 21050-2607
Country : US
Telephone Number : 443-640-4524
Fax Number :
Provider Business Practice Location Address
First Line : 2004 ROCK SPRING RD
Second Line :
City : FOREST HILL
State : MD
Zip : 21050-2607
Country : US
Telephone Number : 443-640-4524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2019
Last Update Date : 04/12/2020

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