Individual
AMANDA LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8905
(843) 792-3780
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8905
(843) 792-3780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL89968
SC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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