Provider Demographics
NPI:1023772530
Name:VAN HOY, CHRISTIN LEE (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:LEE
Last Name:VAN HOY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GAITWOOD CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-2823
Mailing Address - Country:US
Mailing Address - Phone:843-693-5012
Mailing Address - Fax:
Practice Address - Street 1:838 W MEETING ST STE H
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6261
Practice Address - Country:US
Practice Address - Phone:227-380-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-30
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty