Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA NICHOLE MCCONNELL MACK, DO
ActiveAMANDA NICHOLE MCCONNELL MACK, DO is a Neurology healthcare provider located in GALLIPOLIS, Ohio. NPI 1740424076 is currently active in the NPPES registry. Verify at CMS.
Neurology · GALLIPOLIS, OH
Registration Details
- NPI Number
- 1740424076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2009 (17.326948985908 yrs)
- Last Updated
- Jan 11, 2021
- Licenses
-
34.010575 (OH)34.010575 (OH)
Practice Information
- Address
-
90 JACKSON PIKEGALLIPOLIS, OH, 456311560Browse OH providers · Browse ZIP 45631
- Phone
- 7404465763
- Fax
- 7404465573
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.