Healthcare Provider Details

I. General information

NPI: 1457975831
Provider Name (Legal Business Name): AMANDA THOMAS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 LINVILLE ST
MORGANTON NC
28655-7206
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 420
MORRISVILLE NC
27560-5491
US

V. Phone/Fax

Practice location:
  • Phone: 828-580-1400
  • Fax: 828-584-8371
Mailing address:
  • Phone: 984-974-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023-01709
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: