Floyd, Amanda Clark
Floyd, Amanda Clark is an individual health care provider with primary practice located at 222 Herlong Ave S , Rock Hill SC 29732-1158. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Floyd, Amanda Clark can be contacted via phone (803) 366-5500.Contact Information
Primary practice address
222 Herlong Ave S
Rock Hill SC 29732-1158
Phone: (803) 366-5500
Fax: (803) 366-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | 35114 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 60371 | Georgia |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 35114 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35114 | South Carolina |
Profile Details
| NPI number | 1699936641 |
|---|---|
| LBN Legal business name | Floyd, Amanda Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699936641 | NPPES |
| South Carolina | Other | AA9989G370 | MEDICARE PTAN |
| South Carolina | MEDICAID | 351149 | MEDICARE PTAN |
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