Individual
AMANDA LYNN WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
212 MAIN ST, CONWAY, SC 29526-5129
(843) 488-7337
Mailing address
5504 PLANTERSVILLE PL, MYRTLE BEACH, SC 29579-3671
(843) 796-0830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29596
SC
Other
Enumeration date
04/30/2020
Last updated
10/30/2024
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