Individual
AMORRY H LISENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
521 PARK ST, BISHOPVILLE, SC 29010-1133
(803) 484-5391
Mailing address
5142 ST CHARLES RD, MAYESVILLE, SC 29104-8609
(803) 428-3637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73585
SC
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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