Individual
MADISON BEA HAARSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2048 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5830
(843) 804-6010
(843) 804-6011
Mailing address
2048 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5830
(843) 804-6010
(843) 804-6011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25996
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2021
Last updated
03/25/2024
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