Mallory, Amanda

Mallory, Amanda is an individual health care provider with primary practice located at 1847 S Lake Dr , Lexington SC 29073-7759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mallory, Amanda can be contacted via phone (803) 356-8998.

Contact Information

Primary practice address
1847 S Lake Dr Lexington SC 29073-7759
Phone: (803) 356-8998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20586 South Carolina

Profile Details

NPI number 1689116055
LBN Legal business name Mallory, Amanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2016
Last updated Feb 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.

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