AMANDA S CLARK

COLUMBIA, SC
NPI1881220226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  23564)
Enumeration Date2020-03-17
Last Update Date2022-01-26
Business Address
AMANDA S CLARK FNP
2750 LAUREL ST
COLUMBIA, SC 29204-2038
Phone number: 803-252-1953
Mailing Address
AMANDA S CLARK FNP
PO BOX 935722
ATLANTA, GA 31193-5722
Phone number: 843-792-6200
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