Fulton, Amanda Elizabeth Salle

Fulton, Amanda Elizabeth Salle is an individual health care provider with primary practice located at 11402 Anderson Rd Suite A, Greenville SC 29611-7557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fulton, Amanda Elizabeth Salle can be contacted via phone (864) 631-2799.

Contact Information

Primary practice address
11402 Anderson Rd Suite A Greenville SC 29611-7557
Phone: (864) 631-2799
Fax: (864) 522-1215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20332 South Carolina

Profile Details

NPI number 1962854364
LBN Legal business name Fulton, Amanda Elizabeth Salle
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2016
Last updated Feb 10th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962854364 NPPES
South Carolina MEDICAID NP3992

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