Healthcare Provider Details

I. General information

NPI: 1831032853
Provider Name (Legal Business Name): DEVYN NYHART PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 BLACK RIVER RD
GEORGETOWN SC
29440-3304
US

IV. Provider business mailing address

401 AMHURST ST
HANAHAN SC
29410-8213
US

V. Phone/Fax

Practice location:
  • Phone: 843-527-7000
  • Fax:
Mailing address:
  • Phone: 727-631-1524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: