Individual
AMANDA BODIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
222 BEAUFORT ST NE, AIKEN, SC 29801-4476
(803) 709-1773
Mailing address
222 BEAUFORT ST NE, AIKEN, SC 29801-4476
(803) 709-1773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250516
SC
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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