Healthcare Provider Details

I. General information

NPI: 1497382683
Provider Name (Legal Business Name): AMANDA KARATCHOUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 NC 108 HWY
RUTHERFORDTON NC
28139-3188
US

IV. Provider business mailing address

330 NC 108 HWY
RUTHERFORDTON NC
28139-3188
US

V. Phone/Fax

Practice location:
  • Phone: 828-286-1743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD600003702
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2022-00160
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: