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Individual

AMANDA CHAMBERLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29423-8087
(412) 370-7274
Mailing address
325 MARYMEADE DR APT 510, SUMMERVILLE, SC 29483-5250
(412) 370-7274

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC035012
SC

Other

Enumeration date
07/20/2015
Last updated
07/20/2015
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