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Contact Information

AMANDA B BUCAO
1644 JACKSON ST
BARNWELL, SC29812-2156
 Phone: 888-221-1826
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA B BUCAO · (Female)

NPI Number 1235796871
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2019
Last updated 05/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 22870
Hospital affiliation(s)
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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