Charlton, Amanda

Charlton, Amanda is an individual health care provider with primary practice located at 11 Gateway Corners Park , Columbia SC 29203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Charlton, Amanda can be contacted via phone (803) 462-2300.

Contact Information

Primary practice address
11 Gateway Corners Park Columbia SC 29203
Phone: (803) 462-2300
Fax: (803) 462-0375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17840 South Carolina

Profile Details

NPI number 1245592526
LBN Legal business name Charlton, Amanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Aug 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245592526 NPPES
South Carolina Other 12469613 CAQH PROVIDER ID

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