MS. Amy R Wielkopolan, LMBT
NPI #1790849453 in Murrells Inlet, South Carolina
Provider Information
- NPI Number
- 1790849453
- Entity Type
- Individual
- Name
- MS. Amy R Wielkopolan, LMBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Health Maintenance Organization
- Credential
- LMBT
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4370 CREPE MYRTLE CT UNIT A
- City
- Murrells Inlet
- State
- South Carolina
- ZIP Code
- 29576-4307
- Phone
- (843) 504-2905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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