Moon, Amanda
Moon, Amanda is an individual health care provider with primary practice located at 3510 N Highway 17 Suite 220, Mt Pleasant SC 29466-8227. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Moon, Amanda can be contacted via phone (854) 853-3474.Contact Information
Primary practice address
3510 N Highway 17 Suite 220
Mt Pleasant SC 29466-8227
Phone: (854) 853-3474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1531 | South Carolina |
Profile Details
| NPI number | 1982156774 |
|---|---|
| LBN Legal business name | Moon, Amanda |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Oct 27th, 2016 - about 8 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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