Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AMY R WIELKOPOLAN, LMBT
Active Sole ProprietorMS. AMY R WIELKOPOLAN, LMBT is a Health Maintenance Organization healthcare provider located in MURRELLS INLET, South Carolina. NPI 1790849453 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · MURRELLS INLET, SC
Registration Details
- NPI Number
- 1790849453
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2006 (19.610278435421 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3663 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4370 CREPE MYRTLE CT UNIT AMURRELLS INLET, SC, 295764307Browse SC providers · Browse ZIP 29576
- Phone
- 8435042905
- Fax
- 0000000000
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.