Individual
MARY AMANDA CAMPBELL SHUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 WILLIAM H JOHNSON ST STE 500, FLORENCE, SC 29506-2769
(843) 777-7400
Mailing address
101 WILLIAM H JOHNSON ST STE 500, FLORENCE, SC 29506-2769
(843) 777-7400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24630
SC
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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