Individual
AMANDA GRAYCE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 PATEWOOD DR, SUITE A320, GREENVILLE, SC 29615-3593
(864) 454-5100
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0780
—
SC
Enumeration date
05/27/2006
Last updated
04/18/2013
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