Individual
AMANDA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4575 8TH DIVISION ROAD, COLUMBIA, SC 29207
(803) 751-7826
(803) 751-4438
Mailing address
64 BELLSIDE LN, ELGIN, SC 29045-5501
(828) 446-0106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001238577
VA
163WC0400X
Case Management Registered Nurse
Primary
244621
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
11/19/2014
Last updated
02/07/2025
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