Provider Demographics
NPI:1043771454
Name:POMERANTZ, AMANDA (DO)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 23RD AVE S STE 3105
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3196
Mailing Address - Country:US
Mailing Address - Phone:615-936-2488
Mailing Address - Fax:
Practice Address - Street 1:1601 23RD AVE S STE 3105
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3196
Practice Address - Country:US
Practice Address - Phone:615-936-2488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program