Provider Demographics
NPI:1265503338
Name:MCCLUNG, AMANDA B (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:B
Last Name:MCCLUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1906 THOMSON DRIVE
Mailing Address - Street 2:CENTRAL VA SURGERY
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501
Mailing Address - Country:US
Mailing Address - Phone:434-947-3933
Mailing Address - Fax:434-947-3988
Practice Address - Street 1:1906 THOMSON DRIVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-947-3933
Practice Address - Fax:434-947-3988
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2009-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-241889208600000X
MEEC-05-130208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery