Individual
AMANDA RUSCIN VARTANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
811 W MAIN ST STE 204, LEXINGTON, SC 29072-2500
(803) 359-8855
(803) 359-1257
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36978
SC
208000000X
Pediatrics Physician
Primary
LL36978
SC
Other
Enumeration date
06/09/2014
Last updated
11/11/2020
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