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Individual

MARIA GEORGE HYMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1655 BERNARDIN AVENUE, SUITE - 350, COLUMBIA, SC 29204
(803) 253-7575
(803) 253-7571
Mailing address
114 GATEWAY CORPORATE BLVD., SUITE - 425, COLUMBIA, SC 29203
(803) 865-4780
(803) 865-4932

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3856
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1406
SC
Enumeration date
03/24/2009
Last updated
12/13/2012
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