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Individual

MRS. AMBER CHRISTINE FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
12230 ASHEVILLE HWY, INMAN, SC 29349-1845
(864) 472-2144
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22803
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5947
SC
01
SCF2966067
MEDICARE PIN
SC
01
SCF2966084
MEDICARE PIN
SC
01
SCF296J577
MEDICARE PIN
SC
Enumeration date
05/15/2019
Last updated
12/30/2020
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