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Amanda Ivy
NPI 1255584207 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1804 Doughty Cir
West Point, MS 39773 - Phone
- (662) 495-1120
- Fax
- (662) 495-1152
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi