Individual
HADYN STANDS GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7033 SAINT ANDREWS RD STE 305, COLUMBIA, SC 29212-1181
(803) 936-7480
(803) 936-7481
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 936-7480
(803) 936-7481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21783
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
21783
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21783
APRN LICENSE
SC
Enumeration date
04/25/2018
Last updated
04/19/2023
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