Individual
STEPHANIE HORTON HRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
610 FAISON DR, COLUMBIA, SC 29203-3218
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37033
SC
Other
Enumeration date
06/12/2014
Last updated
10/28/2020
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