Individual
AMANDA BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
13 VON STEUBEN ST, GOOSE CREEK, SC 29445-6128
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
14-6810
SC
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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