Individual
DR. JASON LEE HAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203-6878
(803) 434-7956
(803) 434-8606
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245700
—
SC
Enumeration date
06/25/2006
Last updated
11/25/2024
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