Individual
DR. AMANDA BONIFACE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ANP-C
Contact information
Practice address
2995 REIDVILLE RD STE 210, SPARTANBURG, SC 29301-5631
(864) 253-8140
(864) 587-0051
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2544
—
SC
01
—
SCP0295019
MEDICARE PIN
SC
Enumeration date
07/02/2013
Last updated
02/08/2023
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