Individual
AMANDA BROOKE BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 W MAIN ST, GREENVILLE, SC 29611-4215
(864) 220-7270
(864) 241-9211
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19123
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3099
—
SC
Enumeration date
10/10/2014
Last updated
05/19/2021
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