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Individual

AMANDA D. VUPPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8050
(843) 347-8049
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
33517
SC
207RH0003X
Hematology & Oncology Physician
MD.201465
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07236265
MS
05
1067172
LA
05
335177
SC
Enumeration date
07/27/2007
Last updated
01/14/2025
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