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NPI Code Detail

MEDICARE: MRS. KATIE M HEWITT FNP

MEDICARE: MRS. KATIE M HEWITT FNP
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 Practitioner3852SC

General Provider Information

NPI Number : 1851535538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATIE M HEWITT FNP
Provider Business Mailing Address
First Line : 300 SINGLETON RIDGE RD
Second Line : ATTENTION PATIENT ACCOUNTING
City : CONWAY
State : SC
Zip : 29526-9142
Country : US
Telephone Number : 843-234-6946
Fax Number : 843-234-8958
Provider Business Practice Location Address
First Line : 4022 POSTAL WAY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-3537
Country : US
Telephone Number : 843-236-0000
Fax Number : 843-236-6191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2009
Last Update Date : 05/27/2020

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