Individual
AMY R CIANCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
803 N FANT ST, SUITE 2A, ANDERSON, SC 29621-5700
(864) 965-9150
(864) 965-9654
Mailing address
803 N FANT ST, SUITE 2A, ANDERSON, SC 29621-5700
(864) 965-9150
(864) 965-9654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20314
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203149
—
SC
Enumeration date
07/15/2006
Last updated
10/25/2016
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