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Provider Information for 1225690993


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AMANDA SPURLING WILLIAMS


Sex: Female

NPI: 1225690993
Last Updated: 2019-07-02
Certification Date:

Details

NameValue
NPI1225690993
Enumeration Date2019-07-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalSC6872