Individual
AMANDA K CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1225 LAUREL ST STE 219, COLUMBIA, SC 29201-5826
(803) 545-0273
(877) 400-8388
Mailing address
1225 LAUREL ST STE 219, COLUMBIA, SC 29201-5826
(803) 545-0273
(877) 400-8388
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
4933
SC
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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