Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 009103 | GA |
N | 111NI0900X | Internist | 009103 | GA |
Y | 207R00000X | Internist | 2020-02828 | NC |
Y | 111NI0900X | Internist | 2020-02828 | NC |
N | 207RH0002X | Hospice and Palliative Medicine | 2020-02828 | NC |
NPI | 1386091551 |
---|---|
Provider Name | Amanda Lynn Alexander |
First Address | Asheville, NC 28801-4136 |
Second Address | Asheville, NC 28801-4136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2016 |
Last Update Date | 20/12/2021 |