Individual
AMANDA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 MAIN ST STE A, GREENWOOD, SC 29646-2757
(864) 229-4446
Mailing address
105B BUTTERCUP WAY, TAYLORS, SC 29687-2570
(864) 365-5554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4743
SC
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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