Individual
THEDA HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
565 SPRINGHAVEN DR, NORTH AUGUSTA, SC 29860-8999
(803) 279-9993
(803) 279-8898
Mailing address
565 SPRINGHAVEN DR, NORTH AUGUSTA, SC 29860-8999
(803) 279-9993
(803) 279-8898
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
42917
SC
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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