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NPI Code Detail

MEDICARE: AMELIA MERCER

MEDICARE:   AMELIA  MERCER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1300XPsychiatric Pharmacist42493SC

General Provider Information

NPI Number : 1457213043
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA MERCER
Provider Business Mailing Address
First Line : 2819 POTTINGER DR
Second Line :
City : JOHNS ISLAND
State : SC
Zip : 29455-3164
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 67 PRESIDENT ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-5712
Country : US
Telephone Number : 843-792-5952
Fax Number : 843-792-5954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ AMELIA MERCER ” Practice Location

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