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Individual

MRS. AMANDA B MCFANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
110 NNPTC CIR BLDG 2418, GOOSE CREEK, SC 29445-6314
(843) 577-5011
(843) 579-2738
Mailing address
110 NNPTC CIR BLDG 2418, GOOSE CREEK, SC 29445-6314
(843) 577-5011
(843) 579-2738

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2954
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1102
SC
Enumeration date
11/03/2006
Last updated
09/24/2020
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