IndividualActive
Amy Wielkopolan, LMBT
NPI 1790849453 · Health Maintenance Organization · Murrells Inlet, SC
Provider details
- NPI number
- 1790849453
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- LMBT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3663 (SC)
Specialties & taxonomies
Managed Care Organizations
Practice location
4370 Crepe Myrtle Ct Unit a
Murrells Inlet, SC 29576-4307
Phone: (843) 504-2905
Fax: (000) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
4370 Crepe Myrtle Ct Unit a
Murrells Inlet, SC 29576-4307
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.