Clark, Amanda Louise

Clark, Amanda Louise is an sole proprietor health care provider with primary practice located at 10 Mcclennan Banks Dr , Charleston SC 29425-0001. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Amanda Louise can be contacted via phone (843) 792-2300.

Contact Information

Primary practice address
10 Mcclennan Banks Dr Charleston SC 29425-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 246707 South Carolina

Profile Details

NPI number 1225666035
LBN Legal business name Clark, Amanda Louise
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2020
Last updated Mar 28th, 2020 - about 4 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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