Individual
MRS. JACQUELIN HYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 397-2124
Mailing address
100 VALEWORTH DR, IRMO, SC 29063-9382
(803) 397-2124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.19262
SC
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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