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Physician Compare National (NPI:1013309491)

HEALTHCARE PROVIDER: AMANDA WILLIAMS HORNE D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1013309491
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4183944960
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150519000441
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WILLIAMS
Individual professional last name
Provider First Name AMANDA
Individual professional first name
Provider Middle Name MARIE
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9200 NAVARRE PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE E
Group Practice or individual's line 2 address
City NAVARRE
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 325662977
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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