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Individual

AMY AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
850 S PLEASANTBURG DR STE 103, GREENVILLE, SC 29607-2445
(864) 558-0200
(864) 558-0200
Mailing address
233 WATKINS FARM DR, GREER, SC 29651-7539
(864) 525-5725

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21144
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21144
SC
Enumeration date
07/12/2017
Last updated
07/12/2017
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