Individual
AMANDA POLHEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 RUTLEDGE AVENUE, SUITE 1, CHARLESTON, SC 29403
(843) 723-0855
(843) 723-1307
Mailing address
2214 OLD CHEROKEE ROAD, LEXINGTON, SC 29072
(803) 520-9380
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R240798
MD
Other
Enumeration date
10/22/2019
Last updated
10/18/2023
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