Individual
MRS. AMANDA H. WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
933 SAINT ANDREWS BLVD., CHARLESTON, SC 29407
(843) 766-9868
(843) 571-4925
Mailing address
933 SAINT ANDREWS BLVD., CHARLESTON, SC 29407
(843) 766-9868
(843) 571-4925
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1331
SC
363AM0700X
Medical Physician Assistant
1331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748PA
—
SC
Enumeration date
12/19/2008
Last updated
01/04/2011
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