Individual
MRS. AMANDA F MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1126 CLARENCE COKER HWY, TURBEVILLE, SC 29162
(843) 659-2114
(843) 659-2161
Mailing address
1126 CLARENCE COKER HWY, TURBEVILLE, SC 29162
(843) 659-2114
(843) 659-2161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
854
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257PA
—
SC
Enumeration date
09/16/2006
Last updated
02/22/2021
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