Individual
LISA SHERMAN HASELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 271-3444
(864) 255-7877
Mailing address
950 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 271-3444
(864) 255-7877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1105
SC
Other
Enumeration date
05/15/2006
Last updated
08/19/2009
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