Individual
MARY AMANDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6706 NURSERY RD, COLUMBIA, SC 29212-2020
(803) 476-4300
Mailing address
6706 NURSERY RD, COLUMBIA, SC 29212-2020
(803) 476-4300
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
215736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215736
—
SC
Enumeration date
10/09/2015
Last updated
10/09/2015
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