Individual
MRS. BRIDGET DAVIS HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 LAKE VIEW RIDGE DR, LORIS, SC 29569-8833
(843) 756-6503
(843) 716-3501
Mailing address
121 LAKE VIEW RIDGE DR, LORIS, SC 29569-8833
(843) 756-6503
(843) 716-3501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100965
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0780111917
—
SC
Enumeration date
11/21/2014
Last updated
11/21/2014
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