Groome, Amanda Lee

Groome, Amanda Lee is an individual health care provider with primary practice located at 255 Enterprise Blvd Suite 101, Greenville SC 29615-6300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Groome, Amanda Lee can be contacted via phone (864) 454-8120.

Contact Information

Primary practice address
255 Enterprise Blvd Suite 101 Greenville SC 29615-6300
Phone: (864) 454-8120
Fax: (864) 454-8125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 19644 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 19644 South Carolina

Profile Details

NPI number 1013217850
LBN Legal business name Groome, Amanda Lee
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2010
Last updated Nov 30th, 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 1013217850 NPPES
South Carolina MEDICAID NP3381

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