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Amanda G. Olsen, PA
Medical Physician Assistant in Lumberton, North Carolina
NPI 1609143411

Amanda G. Olsen is a Medical Physician Assistant based in Lumberton, NC and is specialized in Medical. Amanda G. Olsen practices in Lumberton, NC and has the professional credentials of PA. The NPI Number for Amanda G. Olsen is 1609143411 and holds a License No. PA.200488 (North Carolina).

The current practice location address for Amanda G. Olsen is 300 W 27Th St, Lumberton, NC and can be reached out via phone at 910-671-5032.

Location: 300 W 27Th St, Lumberton, NC, 28358-3075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609143411
Provider Name
Amanda G. Olsen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
300 W 27Th St, Lumberton, NC, 28358-3075
Phone Number
910-671-5032
Fax Number
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01825596 05 MS
2171305 05 LA
institution
Provider Business Practice Location Address Details
Address
300 W 27Th St
City
Lumberton
State
North Carolina
Zip
28358-3075
Phone Number
910-671-5032
Fax Number
person
Provider Business Mailing Address Details
Address
300 W 27Th St
City
Lumberton
State
North Carolina
Zip
28358-3075
Phone Number
910-671-5032
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA.200488 (Louisiana)
Definition
Definition to come...
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