Individual
AMY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1160 LONGREEN PKWY, COLUMBIA, SC 29229-8189
(803) 691-4870
(803) 691-4043
Mailing address
1160 LONGREEN PARKWAY, LONGLEAF MIDDLE SCHOOL, COLUMBIA, SC 29229
(803) 691-4870
(803) 691-4043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80203
SC
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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