Amanda K Clark, RRT
Respiratory Therapist, Certified in Columbia, SC. Individual provider (NPI-1).
NPI number1467956003
StatusActive
Last updated in NPPESMar 20, 2018
Details
- NPI
- 1467956003
- Entity type
- Individual (NPI-1)
- Name
- Amanda K Clark
- Credential
- RRT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2018
- Last updated
- Mar 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | 4933 | SC | Yes |
Practice location
1225 Laurel St Ste 219Columbia, SC 29201-5826
Phone 803-545-0273 · Fax 877-400-8388
Mailing address
1225 Laurel St Ste 219Columbia, SC 29201-5826
Phone 803-545-0273 · Fax 877-400-8388
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