Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Amy R Wielkopolan, LMBT

Individual provider Health Maintenance Organization · NPI 1790849453

MS. Amy R Wielkopolan, LMBT is a Health Maintenance Organization in Murrells Inlet, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2006

Practice location Address checks out

4370 Crepe Myrtle Ct Unit A
Murrells Inlet, SC 29576-4307
Phone: (843) 504-2905
Fax: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence 3663 (SC)

Record details

NPI number1790849453
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 8, 2007