Individual
MARY ANN HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 2249, PAWLEYS ISLAND, SC 29585-2249
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11960
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119605
—
SC
01
—
300063900
RAILROAD
SC
Enumeration date
03/24/2006
Last updated
03/21/2012
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