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Individual

CHRISTINA R HARDWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
606 BLACK RIVER RD STE 300, GEORGETOWN, SC 29440-3304
(843) 652-8290
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000573
IN
363A00000X
Physician Assistant
Primary
2473
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01179048
RR MEDICARE PTAN
IN
Enumeration date
08/12/2006
Last updated
03/23/2026
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