IndividualActive
Amanda Polhemus
NPI 1508409541 · Pediatric Nurse Practitioner · Charleston, SC
Provider details
- NPI number
- 1508409541
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R240798 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
198 Rutledge Avenue
Suite 1
Charleston, SC 29403
Phone: (843) 723-0855
Fax: (843) 723-1307
Approximate (ZIP-level) locationGet directions
Mailing address
2214 Old Cherokee Road
Lexington, SC 29072
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.