Individual
AMANDA COLEBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 E CHEVES ST, SUITE 370, FLORENCE, SC 29506-2650
(843) 665-2191
(843) 679-0818
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7132
(843) 777-4487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0055
—
SC
Enumeration date
02/09/2006
Last updated
09/19/2007
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