Individual
AMANDA SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1624 STATE RD, SUMMERVILLE, SC 29486-2752
(843) 899-8786
Mailing address
2046 ROBIN WOOD BLVD, MONCKS CORNER, SC 29461-3423
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC032325
SC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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