Healthcare Provider Details

I. General information

NPI: 1902343312
Provider Name (Legal Business Name): LACHIANA A HAMILTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 OKATIE HWY # 170
OKATIE SC
29909-3963
US

IV. Provider business mailing address

719 OKATIE HWY # 170
OKATIE SC
29909-3963
US

V. Phone/Fax

Practice location:
  • Phone: 843-987-7400
  • Fax: 843-987-5135
Mailing address:
  • Phone: 843-987-7400
  • Fax: 843-987-5135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN22732
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: