Amanda Marie Panchame NPC

NPI 1710170899 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1710170899
Gender Female
Enumeration Date 08/22/2007
Last Updated 08/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
702 CANTON ROAD
MARIETTA GA, 30060, US
Phone (770) 428-4486
Fax (770) 425-6005
Business Location
702 CANTON ROAD
MARIETTA GA, 30060, US
Phone (770) 428-4486
Fax (770) 425-6005
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN146197
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According to our database, Mrs. Amanda Marie Panchame NPC NPI is 1710170899, taxonomy code is 363L00000X and license number is RN146197, license state is located at Georgia. Amanda Marie Panchame NPC physically located at 702 Canton Road, Marietta GA, 30060. NPI Number Amanda Marie Panchame NPC has the Individual type.

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1710170899 NPI number is provided on an as is basis without warranty of any kind. 1710170899 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Marie Panchame NPC are for informational purposes only.