Basic Information
Provider Information
NPI: 1083666028
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOTA
FirstName: AMY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ROSS
OtherFirstName: AMY
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MS. PA-C
OtherLastNameType: 1
Mailing Information
Address1: 900 23RD ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200372342
CountryCode: US
TelephoneNumber: 2027156137
FaxNumber:  
Practice Location
Address1: UNC PULMONARY SUITE 4124
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 27599
CountryCode: US
TelephoneNumber: 9199662531
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 06/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA030304DCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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