Provider Demographics
NPI:1922862325
Name:DUGGINS, AMELIA JILL (PA-C)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:JILL
Last Name:DUGGINS
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:11223 COLONIAL COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9682
Mailing Address - Country:US
Mailing Address - Phone:704-591-2920
Mailing Address - Fax:
Practice Address - Street 1:2104 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1522
Practice Address - Country:US
Practice Address - Phone:704-591-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical