Individual
JO LINDA HAMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MILLS AVENUE, AGAPE PHYSICIANS CARE, GREENVILLE, SC 29605
(843) 751-6430
(864) 751-6424
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19057
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2930
—
SC
Enumeration date
09/15/2014
Last updated
04/10/2015
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