Individual
JEFFREY HEMMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ICU RN
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3076
(864) 455-4135
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
211694
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
25048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
05/12/2021
Last updated
12/30/2021
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