Individual
MISS AMANDA JANE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
103 SUMMIT CENTRE DR, COLUMBIA, SC 29229-7613
(803) 356-4712
(803) 356-0832
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
683
SC
213ES0131X
Foot Surgery Podiatrist
Primary
683
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD6835
—
SC
Enumeration date
03/28/2017
Last updated
11/11/2020
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