Individual
AMANDA LONG ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
8220 NIGELS DR, MYRTLE BEACH, SC 29572-4125
(843) 692-0968
(843) 692-2688
Mailing address
8220 NIGELS DR, MYRTLE BEACH, SC 29572-4125
(843) 692-0968
(843) 692-2688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG01210008
SC
Other
Enumeration date
01/27/2021
Last updated
10/03/2024
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