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Amanda Gerrald
Pediatric Nurse Practitioner in Conway, South Carolina
NPI 1144637166

Amanda Gerrald is a Pediatric Nurse Practitioner based in Conway, SC and is specialized in Pediatrics. Amanda Gerrald practices in Conway, SC. The NPI Number for Amanda Gerrald is 1144637166 and holds a License No. 18893 (South Carolina).

The current practice location address for Amanda Gerrald is 1608 Main St, Conway, SC and can be reached out via phone at 843-248-4700.

Location: 1608 Main St, Conway, SC, 29526-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144637166
Provider Name
Amanda Gerrald
Credential
Provider Entity Type
Individual
Gender
Female
Address
1608 Main St, Conway, SC, 29526-3572
Phone Number
843-248-4700
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP3725 05 SC
institution
Provider Business Practice Location Address Details
Address
1608 Main St
City
Conway
State
South Carolina
Zip
29526-3572
Phone Number
843-248-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1608 Main St
City
Conway
State
South Carolina
Zip
29526-3572
Phone Number
843-248-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
18893 (South Carolina)
Definition
Definition to come...
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