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Individual

AMY BRUCE ARENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2817
Mailing address
210 HERITAGE CREEK DR, BOILING SPRINGS, SC 29316-5427
(864) 542-7258

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21417
SC
207Q00000X
Family Medicine Physician
Primary
DO37654
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376541
SC
Enumeration date
03/03/2015
Last updated
11/29/2018
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