AMANDA MARIE FREDERICK

CHARLOTTE, NC
NPI1386112100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-08418)
Enumeration Date2018-11-09
Last Update Date2025-11-12
Business Address
AMANDA MARIE FREDERICK
7349 STATESVILLE RD B
CHARLOTTE, NC 28269
Phone number: 866-550-3472
Mailing Address
AMANDA MARIE FREDERICK
8936 CYPRESS FOREST DR
CHARLOTTE, NC 28216-1674
Phone number: