person
Amanda Mays Lack, APRN
Gerontology Nurse Practitioner in Anderson, South Carolina
NPI 1124532528

Amanda Mays Lack is a Gerontology Nurse Practitioner based in Anderson, SC and is specialized in Gerontology. Amanda Mays Lack practices in Anderson, SC and has the professional credentials of APRN. The NPI Number for Amanda Mays Lack is 1124532528 and holds a License No. RN162689 (South Carolina).

The current practice location address for Amanda Mays Lack is 108 Highway 28 Byp, Anderson, SC and can be reached out via phone at 864-772-8173 and via fax at 833-996-1161.

Location: 108 Highway 28 Byp, Anderson, SC, 29624-3742
person
Provider Profile Details
NPI Number
1124532528
Provider Name
Amanda Mays Lack
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
108 Highway 28 Byp, Anderson, SC, 29624-3742
Phone Number
864-772-8173
Fax Number
833-996-1161
Provider Enumeration Date
11/21/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP6410 05 SC
institution
Provider Business Practice Location Address Details
Address
108 Highway 28 Byp
City
State
Zip
29624-3742
Phone Number
864-772-8173
Fax Number
833-996-1161
person
Provider Business Mailing Address Details
Address
108 Highway 28 Byp
City
State
Zip
29624-3742
Phone Number
864-772-8173
Fax Number
833-996-1161
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
23238 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN162689 (Georgia)
Definition
Definition to come...
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