Individual
AMANDA LEE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
406 N POINSETT HWY, TRAVELERS REST, SC 29690-1667
(864) 834-4151
(864) 834-6145
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 834-4151
(864) 834-6145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01650
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016501
—
SC
Enumeration date
03/23/2010
Last updated
07/21/2022
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