Individual
AMANDA TURBEVILLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3980 HIGHWAY 9 E, SUITE 100-C, LITTLE RIVER, SC 29566-8163
(843) 399-9774
(843) 399-8657
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 399-9774
(843) 399-8657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35895
SC
208600000X
Surgery Physician
2016-00161
NC
208600000X
Surgery Physician
Primary
35895
SC
Other
Enumeration date
06/13/2008
Last updated
08/29/2024
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