AMANDA BLUM

CHARLESTON, SC
NPI1275014110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22159)
Enumeration Date2018-08-28
Last Update Date2018-11-16
Business Address
AMANDA BLUM
171 ASHLEY AVE
CHARLESTON, SC 29425-8911
Phone number: 843-792-1414
Mailing Address
AMANDA BLUM
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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