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NPI Code Detail

MEDICARE: AMANDA BRIANNE PERRY PA-C

MEDICARE: AMANDA BRIANNE PERRY 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 Assistant1657TN

General Provider Information

NPI Number : 1992956114
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BRIANNE PERRY PA-C
Provider Business Mailing Address
First Line : 1124 NEW HIGHWAY 52 E
Second Line :
City : WESTMORELAND
State : TN
Zip : 37186-5060
Country : US
Telephone Number : 615-644-2000
Fax Number : 615-644-2078
Provider Business Practice Location Address
First Line : 1124 NEW HIGHWAY 52 E
Second Line :
City : WESTMORELAND
State : TN
Zip : 37186-5060
Country : US
Telephone Number : 615-644-2000
Fax Number : 615-644-2078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2008
Last Update Date : 06/16/2017

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Directions to “ AMANDA BRIANNE PERRY PA-C” Practice Location

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