Provider Demographics
NPI:1467026856
Name:BROWN, CAROLINE NICOLE HYMEL
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:NICOLE HYMEL
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRISMA HEALTH MEDICAL GROUP SURGERY CENTER
Mailing Address - Street 2:2 MEDICAL PARK, SUITE 300
Mailing Address - City:COLLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-545-5800
Mailing Address - Fax:803-928-9492
Practice Address - Street 1:PRISMA HEALTH MEDICAL GROUP SURGERY CENTER
Practice Address - Street 2:2 MEDICAL PARK, SUITE 300
Practice Address - City:COLLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-545-5800
Practice Address - Fax:803-928-9492
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL85920208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery