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NPI 1083663553 · live from the CMS NPI Registry

Aiken Regional Medical Centers

Nurse Anesthetist, Certified Registered in Aiken, SC. National Provider Identifier 1083663553, active.

NPI record

NPI1083663553 Type 2 · organization
StatusActive
Primary specialtyNurse Anesthetist, Certified Registered 367500000X
Practice location302 University Pkwy, Aiken, SC 29801
Practice phone803-641-5622
Mailing addressPo Box 40, Sullivans Is, SC 29482
EnumeratedMay 10, 2006
Last updatedDecember 20, 2007
Authorized officialMary Nell Hamilton, Director Of Billing
Other namesAiken Regional Medical Centers Crnas/Psychiatrist/Internal Medicine

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry2084P0800X—
Internal Medicine207R00000X—
Nurse Anesthetist, Certified Registered primary367500000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.