Search › South Carolina › 363LA2100X
Amanda Beverly, AGACNP
NPI 1902511108 · on the registry since 2023
Practice
- Address
- 105 Vinecrest Ct # 1000
Greenwood, SC 29646 - Phone
- (864) 725-3350
- Fax
- (864) 725-3351
- Organisation at this address
- Self Medical Group
Self Regional Healthcare
Self Regional HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1601 Greene St, Columbia, SC
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina