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Individual

CARLA B HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3655 MITCHELL ST., LORIS, SC 29569-9601
(843) 716-7000
(843) 716-7093
Mailing address
3655 MITCHELL ST., BOX 690001, LORIS, SC 29569-9601
(843) 716-7000
(843) 716-7093

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AN0593
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400649
SC
Enumeration date
06/12/2007
Last updated
10/09/2007
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