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Individual

MARY ELAINE HYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
612 SAINT ANDREWS RD STE 2, COLUMBIA, SC 29210-5120
(803) 386-8684
Mailing address
612 SAINT ANDREWS RD STE 2, COLUMBIA, SC 29210-5120
(803) 386-8684

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23746
SC
363LP0200X
Pediatric Nurse Practitioner
AP135835
TX

Other

Enumeration date
11/16/2017
Last updated
03/01/2021
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