Amanda Maria Bahnam, PHYSICIAN ASSISTANT

NPI #1013786219 in Clarksville, Tennessee

Provider Information

NPI Number: 1013786219
Entity Type: Individual
Name: Amanda Maria Bahnam, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Dec 28, 2023
Last Updated: Apr 22, 2024

Practice Location

Address: 647 DUNLOP LN STE 210
City: Clarksville
State: Tennessee
ZIP Code: 37040-5165
Phone: (931) 502-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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