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Contact Information

AMANDA D INGRAM, MD
103 W STONE DR
KINGSPORT, TN37660
 Phone: 423-968-1144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for AMANDA D INGRAM · (Female)

NPI Number 1497901854
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2008
Last updated 10/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35098925
  • TN License # 49584
  • TN Medicaid Q001537
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • TAKOMA REGIONAL HOSPITAL - (Acute Care)
    401 TAKOMA AVE
    GREENEVILLE, TN 37743
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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