Individual
AMY CABANISS CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1393 CELANESE RD, ROCK HILL, SC 29732-1722
(803) 329-3103
Mailing address
4618 BENRIDGE LN, CHARLOTTE, NC 28226-3240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22144
SC
363LF0000X
Family Nurse Practitioner
5012128
NC
Other
Enumeration date
09/25/2018
Last updated
08/20/2019
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