Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 23433 | SC |
NPI | 1053325076 |
---|---|
Provider Name | Dr. Victor M Amato |
First Address | Lancaster, SC 29720-8037 |
Second Address | Lancaster, SC 29720-8037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 16/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C82338 | (02) | SC |
GP2815 | (05) | SC |