MEDICARE: GILLIAN MARIE HYDE PA-C

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
1	363A00000X	Physician Assistant	5928	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467119610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILLIAN MARIE HYDE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 601473
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-1743
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3793 MCDOWELL LANE
Second Line	:	STE 100, MEDICAL PARK 2
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-7892
Country	:	US
Telephone Number	:	843-777-5091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2021
Last Update Date	:	03/18/2026

Similar Medicare Providers

1649287087 — MRS. CYNTHIA LYNN PAGE APRN-C
Practice Location Address:

3793 MCDOWELL LN
LITTLE RIVER, SC
29566-7892

Practice Phone: 843-390-0877
Practice Fax:

1871793471 — DR. DAVID ERIC LUKOWSKI M.D.
Practice Location Address:

3793 MCDOWELL LN STE 100
LITTLE RIVER, SC
29566-7892

Practice Phone: 843-390-0100
Practice Fax: 843-390-0038

1346660768 — DR. YUXUAN MAO M.D., M.S.
Practice Location Address:

3793 MCDOWELL LN STE 200
LITTLE RIVER, SC
29566-7892

Practice Phone: 919-244-7196
Practice Fax:

1033774633 — BRUCE PALMER FRESHLEY JR. MD
Practice Location Address:

3793 MCDOWELL LANE , STE 100
LITTLE RIVER, SC
29566-7892

Practice Phone: 843-390-0100
Practice Fax: 843-390-0038

1851915656 — ASHLEIGH T HAWTHORNE PA-C
Practice Location Address:

3793 MCDOWELL LN STE 200
LITTLE RIVER, SC
29566-7892

Practice Phone: 843-390-0877
Practice Fax: 843-390-7102

1366209918 — MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Practice Location Address:

3793 MCDOWELL LN STE 200
LITTLE RIVER, SC
29566-7892

Practice Phone: 843-390-0877
Practice Fax: 843-390-0881

Directions to “ GILLIAN MARIE HYDE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.