Individual
CARLYN STEWART HETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 434-7910
(803) 933-3022
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24155
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2020
Last updated
07/13/2021
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