Provider Demographics
NPI:1972521243
Name:HAMPTON, PHILLIP MERRIDA (CRNA)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:MERRIDA
Last Name:HAMPTON
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:1321 LADY STREET 1ST FLOOR
Mailing Address - Street 2:PALMETTO HEALTH
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201
Mailing Address - Country:US
Mailing Address - Phone:803-296-2548
Mailing Address - Fax:803-296-2525
Practice Address - Street 1:3301 HARDEN ST EXT 5 MEDICAL PARK
Practice Address - Street 2:PALMETTO HEALTH RICHLAND
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-296-2548
Practice Address - Fax:803-296-2525
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
SC2916367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered