Individual
DR. AMANDA LEIGH PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
34524
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013
BLUE CHOICE / BCBS
SC
Enumeration date
06/25/2008
Last updated
01/11/2018
Update your record
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