Individual
HAJAR RAISSI-FARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MEMORIAL DR, PEDIATRIC CENTER, GREER, SC 29650-1518
(864) 848-7005
(864) 848-3666
Mailing address
111 MEMORIAL DR, PEDIATRIC CENTER, GREER, SC 29650-1518
(864) 848-7005
(864) 848-3666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18349
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183492
—
SC
Enumeration date
10/03/2005
Last updated
07/08/2007
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