Individual
AMANDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
880 W MOULTRIE ST STE 200, WINNSBORO, SC 29180-2411
(803) 635-6461
(803) 635-4200
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25956
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2021
Last updated
06/23/2022
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