AMANDA JEAN NEDERVELT

MANNING, SC
NPI1346660503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  37733)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  OS13103)
207R00000X Internal Medicine
(Licence: AL  DO.1638)
Enumeration Date2014-04-25
Last Update Date2017-01-19
Business Address
-- AMANDA JEAN NEDERVELT D.O.
10 E HOSPITAL ST
MANNING, SC 29102-3153
Phone number: 803-433-3000
Mailing Address
-- AMANDA JEAN NEDERVELT D.O.
9740 MARSH WREN CT APT 208
LAKE WORTH, FL 33467-5282
Phone number: 941-773-7233