Individual
DR. EDWARD H HAUSLADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
554 MEMORIAL DRIVE EXT, SUITE C, GREER, SC 29651-1155
(864) 879-3883
(864) 848-3492
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
15352
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153522
—
SC
Enumeration date
05/08/2006
Last updated
03/21/2014
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