Doctor Name: | AMANDA J. HEBERT |
NPI Number: | 1033394549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPO |
License Number: | |
Business Practice Address: | 1931 J N Pease Pl Ste 104 Charlotte, NC - 282624540 |
Business Phone Number: | 7045102204 |
Business Fax Number: | |
Mailing Address: | 1931 J N Pease Pl Ste 104, CHARLOTTE |
State: | NC |
Postal Code: | 282624540 |
Phone Number: | 7047216840 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2008 |
NPI Last Update Date: | 03/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |