Individual
AMANDA LEE SCOPTEUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 269-1386
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23119
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00825492
RAILROAD MEDICARE
SC
05
—
T73444
—
SC
Enumeration date
02/03/2006
Last updated
05/11/2021
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