AMANDA T HALTIWANGER

PROSPERITY, SC
NPI1649432477
Former NameAMANDA TEAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  APRN3585)
Enumeration Date2008-07-02
Last Update Date2009-06-25
Business Address
-- AMANDA T HALTIWANGER FNP
600 N WHEELER AVE
PROSPERITY, SC 29127-8400
Phone number: 803-364-4852
Mailing Address
-- AMANDA T HALTIWANGER FNP
PO BOX 630 600 N WHEELER AVE
PROSPERITY, SC 29127-0630
Phone number: 803-364-4852
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