Individual
KATHERINE LEE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CHAPMAN HILL RD STE 201, CLEMSON, SC 29631-2194
(864) 653-4071
(864) 653-4074
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
234988
SC
363LF0000X
Family Nurse Practitioner
Primary
30594
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2020
Last updated
08/05/2025
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