Individual
AMANDA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
4329 GRAHAM ST, LORIS, SC 29569-2605
(843) 251-2612
Mailing address
4329 GRAHAM ST, LORIS, SC 29569-2605
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
SC
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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