Individual
LOREN D HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
922 HOLLY ST, HOLLY HILL, SC 29059-2762
(803) 496-7174
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23851
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T82032
—
SC
Enumeration date
07/12/2005
Last updated
07/26/2022
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