Provider Demographics
NPI:1437227899
Name:BODA, AMANDA EYRING (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:EYRING
Last Name:BODA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:CHRISTINE
Other - Last Name:EYRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6820 MATTHEWS MINT HILL RD
Mailing Address - Street 2:STE 202
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9491
Mailing Address - Country:US
Mailing Address - Phone:980-229-2528
Mailing Address - Fax:
Practice Address - Street 1:6820 MATTHEWS MINT HILL RD
Practice Address - Street 2:STE 202
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-9491
Practice Address - Country:US
Practice Address - Phone:980-229-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor