Individual
MS. AMANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2070 NORTHBROOK BLVD STE A20, NORTH CHARLESTON, SC 29406-9324
(843) 953-4302
(843) 953-4301
Mailing address
105 RIVER OAK LN, NORTH CHARLESTON, SC 29418-3044
(843) 953-4302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200392
SC
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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