Individual
DR. LARA HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1210 W FARIS RD DEPT OF, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1806
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2021-00883
NC
2085R0202X
Diagnostic Radiology Physician
Primary
39651
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14471Q
—
SC
Enumeration date
06/09/2016
Last updated
08/29/2023
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