Amanda Warden, PA-C
Physician Assistant, Medical in Fayetteville, TN. Individual provider (NPI-1).
NPI number1124457650
StatusActive
Last updated in NPPESNov 5, 2013
Details
- NPI
- 1124457650
- Entity type
- Individual (NPI-1)
- Name
- Amanda Warden
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2013
- Last updated
- Nov 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | SC | Yes |
Practice location
89 Cowley Hollow RdFayetteville, TN 37334-6947
Phone 931-625-3044
Mailing address
89 Cowley Hollow RdFayetteville, TN 37334-6947
Phone 931-625-3044
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