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Individual

ANNA MARIA A KAMMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 576-2592
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 576-2592

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005570
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1685
MEDICAL LICENSE
SC
01
5570
MEDICAL LICENSE
GA
Enumeration date
05/13/2009
Last updated
10/20/2015
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