Individual
AMANDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1325 MILLER RD STE J, GREENVILLE, SC 29607-6541
(864) 283-0555
Mailing address
1325 MILLER RD STE J, GREENVILLE, SC 29607-6541
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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