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NPI Code Detail

MEDICARE: ALLISON D HAMM APRN

MEDICARE: ALLISON D HAMM APRN
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 Practitioner19992SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2423828OTHERSCMEDICARE
3428926OTHERSCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902264062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON D HAMM APRN
Provider Business Mailing Address
First Line : 201 SIGMA DR STE 100
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29486-7722
Country : US
Telephone Number : 843-871-9440
Fax Number : 843-871-5932
Provider Business Practice Location Address
First Line : 809 N CEDAR ST
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-6605
Country : US
Telephone Number : 843-871-9440
Fax Number : 843-871-5932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2016
Last Update Date : 03/20/2018

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Directions to “ ALLISON D HAMM APRN” Practice Location

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