Individual
AMANDA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8021 BRYSON RD, INDIAN LAND, SC 29707-5513
(704) 408-6267
Mailing address
8021 BRYSON RD, INDIAN LAND, SC 29707-5513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23557
SC
Other
Enumeration date
02/03/2020
Last updated
10/30/2020
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