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1962809160
AMANDA MICHELLE PENEGAR
CHARLOTTE, NC
NPI
1962809160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05222)
Enumeration Date
2014-12-03
Last Update Date
2024-07-15
Business Address
AMANDA MICHELLE PENEGAR PA
10650 PARK RD STE 480
CHARLOTTE, NC 28210-8538
Phone number: 704-667-0520
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Mailing Address
AMANDA MICHELLE PENEGAR PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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