Provider Demographics
NPI:1164238408
Name:DOEHLING, AMARY SMITH (FNP-C)
Entity type:Individual
Prefix:
First Name:AMARY
Middle Name:SMITH
Last Name:DOEHLING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 HILTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-9372
Mailing Address - Country:US
Mailing Address - Phone:803-230-0990
Mailing Address - Fax:
Practice Address - Street 1:1201 CAROLNA PLACE DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-0014
Practice Address - Country:US
Practice Address - Phone:704-308-2557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29703207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine