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1962854364
AMANDA ELIZABETH SALLE FULTON
GREENVILLE, SC
NPI
1962854364
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Former Name
AMANDA ELISABETH SALLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20332)
Enumeration Date
2016-07-08
Last Update Date
2023-02-10
Business Address
AMANDA ELIZABETH SALLE FULTON NP-C
11402 ANDERSON RD SUITE A
GREENVILLE, SC 29611-7557
Phone number: 864-631-2799
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Mailing Address
AMANDA ELIZABETH SALLE FULTON NP-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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