Individual provider · Type 1 NPI
Hannah Ingrid Boomgarden, PA-C
Surgical Physician Assistant · Aiken, SC
NPI number
1710528401
Active
Practice location
410 University Pkwy Ste 1000
Aiken, SC 29801-6800
Other practice locations
- 399 Silver Bluff Rd, Aiken, SC 29803-6007 · (803) 649-2250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 9506 (GA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Aiken
About NPI 1710528401
Hannah Ingrid Boomgarden, PA-C's National Provider Identifier is 1710528401, issued on Oct 3, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aiken, SC. The record was last updated on May 23, 2024.