Individual
VIRGINIA ELIZABETH HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1846 DUTCH FORK RD, IRMO, SC 29063
(803) 781-5200
(803) 781-3843
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1251
SC
Other
Enumeration date
09/06/2007
Last updated
01/16/2025
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