Healthcare Provider Details

I. General information

NPI: 1962492082
Provider Name (Legal Business Name): AMANDA J MCGEE FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W FLEMING DR
MORGANTON NC
28655-3923
US

IV. Provider business mailing address

505 W FLEMING DR
MORGANTON NC
28655-3923
US

V. Phone/Fax

Practice location:
  • Phone: 828-435-2463
  • Fax: 828-548-0815
Mailing address:
  • Phone: 828-612-4383
  • Fax: 828-548-0815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number201618
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201618
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: