Provider Demographics
NPI:1952296956
Name:HOUCHIN, JAMETTA VERNEE
Entity type:Individual
Prefix:
First Name:JAMETTA
Middle Name:VERNEE
Last Name:HOUCHIN
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 1:124 BLAKE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-3410
Mailing Address - Country:US
Mailing Address - Phone:843-494-8524
Mailing Address - Fax:843-494-8524
Practice Address - Street 1:124 BLAKE DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-3410
Practice Address - Country:US
Practice Address - Phone:843-494-8524
Practice Address - Fax:843-494-8524
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMicrobiology
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service