Slater, Amanda W

Slater, Amanda W is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 300, Columbia SC 29203-8003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Slater, Amanda W can be contacted via phone (803) 255-3417.

Contact Information

Primary practice address
15 Medical Park Rd Suite 300 Columbia SC 29203-8003
Phone: (803) 255-3417
Fax: (803) 255-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 83255 South Carolina

Profile Details

NPI number 1316900855
LBN Legal business name Slater, Amanda W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 23rd, 2010 - about 14 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 1316900855 NPPES
South Carolina MEDICAID RHC141

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