person
Amy Southern Clinton, NP
Adult Health Nurse Practitioner in Spartanburg, South Carolina
NPI 1992962427

Amy Southern Clinton is an Adult Health Nurse Practitioner based in Atlanta, SC and is specialized in Adult Health. Amy Southern Clinton practices in Spartanburg, SC and has the professional credentials of NP. The NPI Number for Amy Southern Clinton is 1992962427 and holds a License No. 3559 (South Carolina).

The current practice location address for Amy Southern Clinton is 101 E Wood St, Spartanburg, SC and can be reached out via phone at 864-560-7050 and via fax at 864-560-0800.

Location: 101 E Wood St, Spartanburg, SC, 30374-3070
person
Provider Profile Details
NPI Number
1992962427
Provider Name
Amy Southern Clinton
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 E Wood St, Spartanburg, SC, 30374-3070
Phone Number
864-560-7050
Fax Number
864-560-0800
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00692350 01 SC RR MEDICARE
NP1262 05 SC
AA27553365 01 SC MEDICARE PIN
AA27554746 01 SC MEDICARE PIN
3559 01 SC SC LISCENSE
7004446 05 NC
AA27555019 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
101 E Wood St
City
State
Zip
29303-3040
Phone Number
864-560-7050
Fax Number
864-560-0800
person
Provider Business Mailing Address Details
Address
101 E Wood St
City
State
Zip
29303-3040
Phone Number
864-560-7050
Fax Number
864-560-0800
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3559 (South Carolina)
Definition
Definition to come...
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