Individual
AMANDA MAY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
989 RIBAUT RD STE 360, BEAUFORT, SC 29902-5427
(843) 524-8171
Mailing address
989 RIBAUT RD STE 360, BEAUFORT, SC 29902-5427
(843) 524-8171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
07/10/2020
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