Individual
AMBER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W CALHOUN CROSSING CT, SPARTANBURG, SC 29307-3157
(186) 481-2177
Mailing address
510 W CALHOUN CROSSING CT, SPARTANBURG, SC 29307-3157
(864) 812-1774
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303872
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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