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Organization

ELEVATED WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA S CLARK DNP, MSN, FNP-BC (OWNER, NURSE PRACTITIONER)
(803) 667-5644
Entity
Organization

Contact information

Practice address
2100 N BELTLINE BLVD, COLUMBIA, SC 29204-3905
(803) 667-5644
Mailing address
2100 N BELTLINE BLVD, COLUMBIA, SC 29204-3905
(803) 667-5644

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/24/2026
Last updated
01/24/2026
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