Doctor Name: | MRS. TAMMY ELIZABETH HIOTT |
NPI Number: | 1962811471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 18827 |
Business Practice Address: | 1800 Eagle Landing Boulevard Agape Physicians Care At Heartland Of Hanahan Hanahan, SC - 29410 |
Business Phone Number: | 8435530656 |
Business Fax Number: | |
Mailing Address: | 1624 Main Street, Agape Senior Primary Care, Inc., Dba Agape Physicains C COLUMBIA |
State: | SC |
Postal Code: | 29201 |
Phone Number: | 8034540365 |
Fax Number: | 8034046000 |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 18827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |