Individual
AMY REISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-0486
Mailing address
1137 FORT CONGAREE TRL, CAYCE, SC 29033-3720
(706) 910-6565
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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