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Individual

AMY KATHRYN CIVILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
96099
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
3583
SC

Other

Enumeration date
02/04/2008
Last updated
01/02/2024
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