MEDICARE: AMANDA YVONNE PABON

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
1	246RP1900X	Phlebotomy Technician	S2Q3F6C2	NC

General Provider Information

NPI Number	:	1821957655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA YVONNE PABON

Provider Business Mailing Address
First Line	:	4712 YARROW ST
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-6000
Country	:	US
Telephone Number	:	803-389-2237
Fax Number	:	803-389-2237

Provider Business Practice Location Address
First Line	:	4712 YARROW ST
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-6000
Country	:	US
Telephone Number	:	803-389-2237
Fax Number	:	803-389-2237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ AMANDA YVONNE PABON ” Practice Location

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