Individual
HANNAH SHULL NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605
(864) 455-5198
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52714
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA2946
—
SC
Enumeration date
06/11/2018
Last updated
03/01/2023
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