Individual
MRS. JUDITH KAYE HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
1201 FICUS DR, MYRTLE BEACH, SC 29579-8495
(816) 263-3269
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PR49991
SC
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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