Individual
AMANDA BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2731 GORDON ST, NORTH CHARLESTON, SC 29405-3900
(843) 297-8033
Mailing address
2731 GORDON ST, NORTH CHARLESTON, SC 29405-3900
(843) 297-8033
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
233409
SC
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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