Lisa Sherman Haselden PA-C

NPI 1003867789 - Physician Assistant - 363A00000X

NPI Details
NPI 1003867789
Gender Female
Enumeration Date 05/15/2006
Last Updated 08/19/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
950 W FARIS RD
GREENVILLE SC, 29605-4255, US
Phone (864) 271-3444
Fax (864) 255-7877
Business Location
950 W FARIS RD
GREENVILLE SC, 29605-4255, US
Phone (864) 271-3444
Fax (864) 255-7877
Toxanomy
Taxonomy Code 363A00000X
License State South Carolina
License Number 1105
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According to our database, Lisa Sherman Haselden PA-C NPI is 1003867789, taxonomy code is 363A00000X and license number is 1105, license state is located at South Carolina. Lisa Sherman Haselden PA-C physically located at 950 W Faris Rd, Greenville SC, 29605-4255. NPI Number Lisa Sherman Haselden PA-C has the Individual type.

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1003867789 NPI number is provided on an as is basis without warranty of any kind. 1003867789 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Sherman Haselden PA-C are for informational purposes only.