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Individual

DR. SUSAN J HARDESTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
411 LINKS XING S, NINETY SIX, SC 29666-8798
(843) 327-0918
Mailing address
411 LINKS XING S, NINETY SIX, SC 29666-8798
(843) 327-0918

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15472
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154728
SC
Enumeration date
08/29/2006
Last updated
04/17/2018
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