Individual
CHRISTA AMANDA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1590 FREEDOM BLVD STE B, FLORENCE, SC 29505-6071
(843) 792-1414
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25333
SC
Other
Enumeration date
09/10/2021
Last updated
11/02/2021
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