Individual
AMBER BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
442 KING ST FL 2, CHARLESTON, SC 29403-6230
(843) 800-8110
Mailing address
442 KING ST FL 2, CHARLESTON, SC 29403-6230
(843) 800-8110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23019
SC
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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