AMANDA BLALOCK MCCOLLOUGH

RALEIGH, NC
NPI1205357480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP134144)
Enumeration Date2017-06-28
Last Update Date2022-02-25
Business Address
AMANDA BLALOCK MCCOLLOUGH CRNA
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3100
Mailing Address
AMANDA BLALOCK MCCOLLOUGH CRNA
7409 TALL OAKS CT
RALEIGH, NC 27613-1540
Phone number: 512-633-9841
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