Individual
AMANDA MARIE LOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 DOCTORS DR, GREENVILLE, SC 29605-5622
(864) 797-7150
(864) 797-7155
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2851
SC
363AS0400X
Surgical Physician Assistant
PA2851
SC
Other
Enumeration date
12/26/2017
Last updated
05/05/2021
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