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NPI Code Detail

MEDICARE: HANNAH DWEIKAT

MEDICARE:   HANNAH  DWEIKAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner24246SC

General Provider Information

NPI Number : 1114515095
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH DWEIKAT
Provider Business Mailing Address
First Line : 1300 APPLING DR UNIT 308
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-4887
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4920 OHEAR AVE STE 101
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-4986
Country : US
Telephone Number : 843-856-3784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2021
Last Update Date : 01/06/2021

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Directions to “ HANNAH DWEIKAT ” Practice Location

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