Individual
KISHA JAMES HARTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD STE 200, GREENVILLE, SC 29605-4210
(864) 455-6968
(864) 455-8981
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
054400
GA
2084P0800X
Psychiatry Physician
2012-01843
NC
2084P0800X
Psychiatry Physician
Primary
88447
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
01/24/2006
Last updated
08/19/2022
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