Individual
AMANDA PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2000
Mailing address
9 HUGUENIN AVE APT 203, CHARLESTON, SC 29403-7038
(443) 465-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6063
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2024
Last updated
11/10/2025
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