Individual
DR. AMY M SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3368
(843) 527-7000
(843) 520-8403
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M15250
ID
207R00000X
Internal Medicine Physician
MD195005
OR
207RN0300X
Nephrology Physician
035145
GA
207RN0300X
Nephrology Physician
15949
SC
207RN0300X
Nephrology Physician
MD195005
OR
207RN0300X
Nephrology Physician
Primary
MD61019589
WA
208M00000X
Hospitalist Physician
M-15250
ID
208M00000X
Hospitalist Physician
MD195005
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000506701I
—
GA
01
—
035145
GA LICENSE #
GA
01
—
15949
SC LICENSE #
SC
05
—
G35145
—
SC
Enumeration date
04/05/2006
Last updated
10/08/2025
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