Provider Information for 1225690993
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AMANDA SPURLING WILLIAMS
Sex: Female
NPI: 1225690993
Last Updated: 2019-07-02
Certification Date:
Certification Date:
Details
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NPI | 1225690993 | ||||||||
Enumeration Date | 2019-07-02 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 103 CHESTNUT GROVE LN SIMPSONVILLE, SC 29680-7673 United States Phone: | Fax: | ||||||||
Primary Practice Address | 225 ADLEY WAY GREENVILLE, SC 29607-6511 United States Phone: 864-987-9747 | Fax: | ||||||||
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