Individual
AMANDA LEA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
200 PATEWOOD DR, SUITE A320, GREENVILLE, SC 29615-3593
(864) 454-5100
(864) 241-9238
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18502
SC
Other
Enumeration date
10/15/2013
Last updated
03/27/2014
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