Search › Tennessee › 103TC1900X
Amanda Bourg, PHD
NPI 1386758068 · on the registry since 2006
Practice
- Address
- 171 Bank St # 221
Tellico Plains, TN 37385 - Phone
- (443) 379-0447
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103TC1900X
- Licence states on file
- TN, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-13
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 Tennessee