Perkins, Amanda Grayce

Perkins, Amanda Grayce is an individual health care provider with primary practice located at 200 Patewood Dr Suite A320, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Perkins, Amanda Grayce can be contacted via phone (864) 454-5100.

Contact Information

Primary practice address
200 Patewood Dr Suite A320 Greenville SC 29615-3593
Phone: (864) 454-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2039 South Carolina

Profile Details

NPI number 1124075247
LBN Legal business name Perkins, Amanda Grayce
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 18th, 2013 - about 11 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 1124075247 NPPES
South Carolina MEDICAID NP0780

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