Individual
AMANDA W PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
406 BRIGHTON PARK BLVD STE 101, SUMMERVILLE, SC 29486-3056
(854) 287-3560
(854) 287-3561
Mailing address
880 ISLAND PARK DR UNIT 230, DANIEL ISLAND, SC 29492-2902
(843) 380-9330
(843) 380-8212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21838
SC
363LW0102X
Women's Health Nurse Practitioner
Primary
21838
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5557
—
SC
Enumeration date
09/28/2018
Last updated
03/19/2026
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