Provider Demographics
NPI:1669455465
Name:HOVIS, AMANDA SILVER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SILVER
Last Name:HOVIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ELM ST.
Mailing Address - Street 2:
Mailing Address - City:MCADENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28101
Mailing Address - Country:US
Mailing Address - Phone:704-824-5323
Mailing Address - Fax:704-824-5410
Practice Address - Street 1:105 ELM ST.
Practice Address - Street 2:
Practice Address - City:MCADENVILLE
Practice Address - State:NC
Practice Address - Zip Code:28101
Practice Address - Country:US
Practice Address - Phone:704-824-5323
Practice Address - Fax:704-824-5410
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103114363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P16283Medicare UPIN
NC2752994BMedicare PIN