Individual
DR. TRISTA LOREN HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7037 SAINT ANDREWS RD, COLUMBIA, SC 29212-1172
(803) 732-0963
(803) 732-1406
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22657
SC
Other
Enumeration date
04/07/2019
Last updated
11/06/2020
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