Individual
AMANDA LEIGH ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201-4347
(631) 807-3073
Mailing address
1300 WHEAT ST, COLUMBIA, SC 29201-4347
(803) 777-5261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH1759
SC
Other
Enumeration date
07/29/2024
Last updated
02/21/2026
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