Individual
RANDALL HADWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 933-6195
Mailing address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 933-6195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3278
SC
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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