Individual
HENNA BAZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SINGLETON RIDGE ROAD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8134
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
89845
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
11/19/2025
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