Gresham, Amanda Marie

Gresham, Amanda Marie is an individual health care provider with primary practice located at 125 Twilight Bay Dr , Panama City Beach FL 32407-2858. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Gresham, Amanda Marie can be contacted via phone (678) 836-8962.

Contact Information

Primary practice address
125 Twilight Bay Dr Panama City Beach FL 32407-2858
Phone: (678) 836-8962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-307774

Profile Details

NPI number 1396561494
LBN Legal business name Gresham, Amanda Marie
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2024
Last updated Nov 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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