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Individual

AMANDA M. SCHIMNOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5010 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(843) 236-2700
(843) 236-2726
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51955
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
519558
SC
Enumeration date
06/29/2015
Last updated
02/23/2024
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