Doctor Name: | AMANDA VAUGHN SAUNDERS |
NPI Number: | 1013279017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 184104 |
Business Practice Address: | 55 Tw Alexander Dr Office Durham, NC - 277090152 |
Business Phone Number: | 9194255479 |
Business Fax Number: | |
Mailing Address: | 10540 Bedfordtown Dr, Private Address RALEIGH |
State: | NC |
Postal Code: | 276148069 |
Phone Number: | 9197808423 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 184104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |