| Hamolia Services | |
|
709 Trolley Rd Summerville SC 29485-5203 | |
| (843) 821-2480 | |
| Not Available |
| Full Name | Hamolia Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 709 Trolley Rd, Summerville, South Carolina |
| Authorized Official Name and Position | Christine Diane Hamolia (OWNER) |
| Authorized Official Contact | 8432705767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamolia Services 107 Shenandoah Ct Summerville SC 29485-5013 Ph: (843) 270-5767 | Hamolia Services 709 Trolley Rd Summerville SC 29485-5203 Ph: (843) 821-2480 |
| NPI Number | 1407303522 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Medicare PECOS PAC ID | 2062796667 |
|---|---|
| Medicare Enrollment ID | O20170227001985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407303522 | NPI | - | NPPES |
| 1902914856 | Other | SC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | APN113 (South Carolina) | Primary |
| Provider Name | Christine Diane Hamolia |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902914856 PECOS PAC ID: 0446449888 Enrollment ID: I20110114000999 |
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