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Individual

MRS. KIMBERLY J HAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
16 ROBERTS BLVD, WILLIAMSTON, SC 29697
(864) 512-5800
(864) 512-5292
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5800
(864) 512-5292

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21237
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21237
SCLLR
SC
Enumeration date
09/22/2017
Last updated
11/03/2022
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