Exum, Amanda Leigh
Exum, Amanda Leigh is an individual health care provider with primary practice located at 853 N Church St Ste 401 , Spartanburg SC 29303-3064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Exum, Amanda Leigh can be contacted via phone (864) 560-6287.Contact Information
Primary practice address
853 N Church St Ste 401
Spartanburg SC 29303-3064
Phone: (864) 560-6287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 22833 | South Carolina |
Profile Details
| NPI number | 1255093068 |
|---|---|
| LBN Legal business name | Exum, Amanda Leigh |
| Credentials | APRN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2021 |
| Last updated | Dec 1st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255093068 | NPPES |
| South Carolina | Other | SCL406H895 | MEDICARE PIN |
| South Carolina | MEDICAID | NP7953 | MEDICARE PIN |
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