Individual provider · Type 1 NPI

Amanda Nichols, PA-C

Medical Physician Assistant · Summerville, SC

NPI number 1750687091 Active

Practice location

295 Midland Pkwy
Summerville, SC 29485-8104

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1592 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1750687091

Amanda Nichols, PA-C's National Provider Identifier is 1750687091, issued on Feb 3, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Summerville, SC. The record was last updated on Jul 1, 2014.