Individual
CLAIRE HAMER KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 725-4673
(843) 725-1235
Mailing address
5880 RIVERS AVE, PO BOX 61836, NORTH CHARLESTON, SC 29406-6053
(843) 725-4673
(843) 725-1235
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TL1476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088205
NCCPA ID
SC
Enumeration date
10/12/2009
Last updated
10/12/2009
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