Evans, Amanda Gibson

Evans, Amanda Gibson is an individual health care provider with primary practice located at 325 Medical Pkwy Suite 200, Greer SC 29650-2457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Evans, Amanda Gibson can be contacted via phone (864) 797-9550.

Contact Information

Primary practice address
325 Medical Pkwy Suite 200 Greer SC 29650-2457
Phone: (864) 797-9550
Fax: (864) 797-9555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18582 South Carolina

Profile Details

NPI number 1154752780
LBN Legal business name Evans, Amanda Gibson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2013
Last updated Jun 6th, 2021 - 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 1154752780 NPPES
South Carolina MEDICAID NP2669

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