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Individual

HANNAH MARIE DEWES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3 MEDICAL PARK RD #310, COLUMBIA, SC 29203
(803) 434-8323
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3556PA
SC
Enumeration date
08/21/2018
Last updated
06/13/2019
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