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Individual

GEORGEANA OLIVER-HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24036
SC
363LF0000X
Family Nurse Practitioner
Primary
24036
SC
363LF0000X
Family Nurse Practitioner
RN264668
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24036
SC
Enumeration date
07/14/2020
Last updated
11/02/2022
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