Haden, Mary Ann

Haden, Mary Ann is an individual health care provider with primary practice located at 606 Black River Rd , Georgetown SC 29440-3304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Haden, Mary Ann can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
606 Black River Rd Georgetown SC 29440-3304
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11960 South Carolina

Profile Details

NPI number 1013977156
LBN Legal business name Haden, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013977156 NPPES
South Carolina Other 300063900 RAILROAD
South Carolina MEDICAID 119605 RAILROAD

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