Clinton, Amy Southern

Clinton, Amy Southern is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Clinton, Amy Southern can be contacted via phone (864) 560-7050.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-7050
Fax: (864) 560-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3559 South Carolina

Profile Details

NPI number 1992962427
LBN Legal business name Clinton, Amy Southern
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Mar 3rd, 2023 - about 3 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 1992962427 NPPES
South Carolina Other P00692350 RR MEDICARE
South Carolina MEDICAID NP1262 RR MEDICARE
South Carolina Other AA27553365 RR MEDICARE
South Carolina Other AA27554746 RR MEDICARE
South Carolina Other 3559 RR MEDICARE
South Carolina MEDICAID 7004446 RR MEDICARE
South Carolina Other AA27555019 RR MEDICARE

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