Provider Demographics
NPI:1730179193
Name:ENDE, AMY SMITH (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:SMITH
Last Name:ENDE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2293 SUGAR HILL RD STE D
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7787
Mailing Address - Country:US
Mailing Address - Phone:828-652-8727
Mailing Address - Fax:828-652-8793
Practice Address - Street 1:2293 SUGAR HILL RD STE D
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7787
Practice Address - Country:US
Practice Address - Phone:828-652-8727
Practice Address - Fax:828-652-8793
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2018-02-23
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Provider Licenses
StateLicense IDTaxonomies
NC9600905208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891034XMedicaid
NC1536909OtherCIGNA ID #
NC1730179193Medicaid
NC1034XOtherBCBS ID #
9202504OtherAETNA