Hardeman, Suzanne M.

Hardeman, Suzanne M. is an individual health care provider with primary practice located at 15 Medical Park Suite 141, Columbia SC 29203-8903. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hardeman, Suzanne M. can be contacted via phone (803) 434-4300.

Contact Information

Primary practice address
15 Medical Park Suite 141 Columbia SC 29203-8903
Phone: (803) 434-4300
Fax: (803) 434-4351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4747 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3152 South Carolina

Profile Details

NPI number 1316018427
LBN Legal business name Hardeman, Suzanne M.
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Jun 5th, 2009 - about 16 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 1316018427 NPPES
South Carolina MEDICAID NP1361

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