Provider Demographics
NPI:1467791384
Name:HYMAN, CHANDRA LYNISE (RN)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:LYNISE
Last Name:HYMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 RIDLEY HILL LN
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8580
Mailing Address - Country:US
Mailing Address - Phone:803-626-7838
Mailing Address - Fax:
Practice Address - Street 1:309 RIDLEY HILL LN
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8580
Practice Address - Country:US
Practice Address - Phone:803-626-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCNA207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology