Individual
MRS. MIKAYLA MAE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH-PATHOLOGIST
Contact information
Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7221
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA2380
—
SC
Enumeration date
07/01/2020
Last updated
07/21/2022
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