AMANDA FAYE NORTHUP

CHARLESTON, SC
NPI1881033694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  LL35918)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: SC  35918)
Enumeration Date2013-06-14
Last Update Date2019-08-05
Business Address
AMANDA FAYE NORTHUP MD
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425-8905
Phone number: 843-792-1020
Mailing Address
AMANDA FAYE NORTHUP MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200