Individual
AMY MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1122 LADY ST, COLUMBIA, SC 29201-3218
(803) 240-2847
Mailing address
1301 SUMMERVILLE AVE, COLUMBIA, SC 29201-1927
(803) 240-2847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3057
SC
Other
Enumeration date
03/02/2006
Last updated
10/31/2023
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