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
Phone: (843) 792-2300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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