Individual
MARY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 HAMPTON CREEK CT, COLUMBIA, SC 29209-1974
(803) 783-6100
Mailing address
425 HAMPTON CREEK CT, COLUMBIA, SC 29209-1974
(803) 783-6100
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
32449
SC
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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