Individual
AMANDA MARIE MCCOY IGNAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605-4281
(864) 455-7874
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 588-2286
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71009410A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7286
—
SC
Enumeration date
09/04/2019
Last updated
02/10/2021
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