Individual
RAYPHAEL SEBASTIAN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 RUTLEDGE AVE, CHARLESTON, SC 29425-8903
(843) 792-4074
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82747
SC
207R00000X
Internal Medicine Physician
LL82747
SC
Other
Enumeration date
06/10/2019
Last updated
08/15/2022
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