Provider Demographics
NPI:1720336712
Name:FLINT, AMY C (PA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:C
Last Name:FLINT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR STE 4200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4550
Mailing Address - Country:US
Mailing Address - Phone:828-213-4600
Mailing Address - Fax:
Practice Address - Street 1:301 MED TECH PKWY STE 120
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2631
Practice Address - Country:US
Practice Address - Phone:423-794-5590
Practice Address - Fax:423-794-5877
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2173363A00000X
FLPA9110517363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528534Medicaid
TN1532063Medicaid
TN1532063Medicaid
TN1528534Medicaid