Clark, Amanda S

Clark, Amanda S is an individual health care provider with primary practice located at 2750 Laurel St , Columbia SC 29204-2038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Amanda S can be contacted via phone (803) 252-1953.

Contact Information

Primary practice address
2750 Laurel St Columbia SC 29204-2038
Phone: (803) 252-1953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23564 South Carolina

Profile Details

NPI number 1881220226
LBN Legal business name Clark, Amanda S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2020
Last updated Jan 26th, 2022 - 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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