IndividualActive
Amanda Spates
NPI 1669310629 · Nurse Practitioner · Lake City, SC
Provider details
- NPI number
- 1669310629
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- F09250414 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4076 N Williamsburg Hwy
Lake City, SC 29560
Phone: (843) 373-2504
Approximate (ZIP-level) locationGet directions
Mailing address
4076 N Williamsburg Hwy
Lake City, SC 29560
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.