Perkins, Amanda Grayce
Perkins, Amanda Grayce is an individual health care provider with primary practice located at 200 Patewood Dr Suite A320, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Perkins, Amanda Grayce can be contacted via phone (864) 454-5100.Contact Information
Primary practice address
200 Patewood Dr Suite A320
Greenville SC 29615-3593
Phone: (864) 454-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2039 | South Carolina |
Profile Details
| NPI number | 1124075247 |
|---|---|
| LBN Legal business name | Perkins, Amanda Grayce |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 18th, 2013 - about 13 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 | 1124075247 | NPPES |
| South Carolina | MEDICAID | NP0780 |
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