Individual
AMY LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 ASSEMBLY ST, COLUMBIA, SC 29208-3904
(803) 777-5031
Mailing address
2025 GERVAIS ST, COLUMBIA, SC 29204-1803
(570) 855-9730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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