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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ICE AMANI, DO

Deactivated

ICE AMANI, DO is a Family Medicine healthcare provider located in MONROE, North Carolina. NPI 1912536871 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · MONROE, NC

This NPI has been deactivated. The record was deactivated on June 30, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1912536871
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2020 (3.2404371584699 yrs)
Last Updated
Sep 18, 2023
Deactivated
Jun 30, 2023
License
2023-02405 (NC)

Practice Information

Address
1995 WELLNESS BLVD STE 110&210
MONROE, NC, 281107769
Browse NC providers · Browse ZIP 28110
Phone
7043841140
Fax
7043841141
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MONROE, NC

Name Credential NPI
HARRY WERNER 1366442733
DR. JOHN MARVIN LINSTER JR. M.D. 1114914892
DR. DAVID CAMPBELL ALLISON MD 1285602730
DR. GWENDOLYN MYRTIS PERKINS MD 1326000969
SCOTT MITCHELL SHEFLIN MD 1639132111
DR. WILLIAM GEORGE MARTIN III M.D. 1861455479
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.