SearchNorth Carolina363L00000X

Amanda Baker

NPI 1710632922 · on the registry since 2022 · sole proprietor

Practice

Address
1508 Military Cutoff Rd Ste 203
Wilmington, NC 28403
Phone
(910) 679-4312
Organisation at this address
Lange Wellness, Pllc
Revival Medical Group
Collaborative Community Care, Llc
Avid Health At Home North Carolina
Revival Medical Weight Loss Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-16

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 North Carolina