Individual
MS. AMY MARIE COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN2169
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0848
—
SC
Enumeration date
05/01/2006
Last updated
01/19/2017
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