Individual
AMBER LEE ANN FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(800) 805-6985
Mailing address
971 MOUNT VERNON DR, CHARLESTON, SC 29412-9225
(843) 568-2736
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48163
SC
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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