Individual
MISS AMANDA MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1341 COLLEGE PARK RD STE A, SUMMERVILLE, SC 29486
(781) 413-5414
Mailing address
1341 COLLEGE PARK RD STE A, SUMMERVILLE, SC 29486-8635
(843) 400-0028
(843) 790-8449
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18442 APRN
SC
Other
Enumeration date
08/20/2013
Last updated
08/13/2018
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