Organization
HAMPTON REGIONAL MEDICAL CENTER
Active
Other names
Hampton CRNA Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE H HAMILL (CEO)
(803) 943-1251
Entity
Organization
Contact information
Practice address
595 CAROLINA AVE. WEST, VARNVILLE, SC 29944
(803) 454-2613
(803) 765-1732
Mailing address
PO BOX 12, COLUMBIA, SC 29202
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4397
—
SC
Enumeration date
06/14/2006
Last updated
04/23/2012
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