Gurganus, Amanda Caroline
Gurganus, Amanda Caroline is an sole proprietor health care provider with primary practice located at 1703 Country Club Rd Ste 204 , Jacksonville NC 28546-6006. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gurganus, Amanda Caroline can be contacted via phone (910) 347-3010.Contact Information
Primary practice address
1703 Country Club Rd Ste 204
Jacksonville NC 28546-6006
Phone: (910) 347-3010
Fax: (910) 347-6137
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 200600453 | North Carolina |
Profile Details
NPI number | 1770711806 |
---|---|
LBN Legal business name | Gurganus, Amanda Caroline |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 26th, 2009 |
Last updated | May 14th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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