Organization
HAMOLIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE DIANE HAMOLIA APRN (OWNER)
(843) 270-5767
Entity
Organization
Contact information
Practice address
709 TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 821-2480
Mailing address
107 SHENANDOAH CT, SUMMERVILLE, SC 29485-5013
(843) 270-5767
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
APN113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902914856
NPI
SC
Enumeration date
09/07/2016
Last updated
09/07/2016
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