Individual
AMY PHILLIPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 260-5913
Mailing address
772 DIAL CREEK RD, ELGIN, SC 29045-2003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R53470
NM
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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