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General NPI Number Information
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NPI Number | 1164798732
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Entity Type | Individual
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Provider Name | AMANDA ELIZABETH LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2 MEDICAL PARK RD STE 300
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City | COLUMBIA
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State | SC
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Zip | 29203-6839
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Country | US
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Telephone | 803-434-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE STE 300
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City | GREENVILLE
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State | SC
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Zip | 29601-2899
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Country | US
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Telephone | 864-522-8603
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 95303
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT201603
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2019-01597
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 89824
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License Number State | GA
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