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Ice Amani, DO
Family Medicine Physician in Monroe, North Carolina
NPI 1912536871

Ice Amani is a Family Medicine Physician based in Charlotte, NC. Ice Amani practices in Monroe, NC and has the professional credentials of DO. The NPI Number for Ice Amani is 1912536871 and holds a License No. (North Carolina).

The current practice location address for Ice Amani is 1995 Wellness Blvd Ste 110&210, Monroe, NC and can be reached out via phone at 704-384-1140 and via fax at 704-384-1141.

Location: 1995 Wellness Blvd Ste 110&210, Monroe, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912536871
Provider Name
Ice Amani
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1995 Wellness Blvd Ste 110&210, Monroe, NC, 28260-0447
Phone Number
704-384-1140
Fax Number
704-384-1141
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1995 Wellness Blvd Ste 110&210
City
Monroe
State
North Carolina
Zip
28110-7769
Phone Number
704-384-1140
Fax Number
704-384-1141
person
Provider Business Mailing Address Details
Address
1995 Wellness Blvd Ste 110&210
City
Monroe
State
North Carolina
Zip
28110-7769
Phone Number
704-384-1140
Fax Number
704-384-1141
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2023-02405 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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