OrganizationActive
Amethyst Health, LLC
NPI 1407475676 · Primary Care Clinic/Center · Blythewood, SC
Provider details
- NPI number
- 1407475676
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wachovia Banks, Family Medicine Physician(717) 880-3740
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
1175 Grey Pine Dr
Blythewood, SC 29016-7320
Phone: (717) 880-3740
Approximate (ZIP-level) locationGet directions
Mailing address
1175 Grey Pine Dr
Blythewood, SC 29016-7320
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2020-04-08
- Certified
- 2020-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.