Doctor Name: | THEDA HILLIARD |
NPI Number: | 1144666314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 42917 |
Business Practice Address: | 565 Springhaven Dr North Augusta, SC - 298608999 |
Business Phone Number: | 8032799993 |
Business Fax Number: | 8032798898 |
Mailing Address: | 565 Springhaven Dr, NORTH AUGUSTA |
State: | SC |
Postal Code: | 298608999 |
Phone Number: | 8032799993 |
Fax Number: | 8032798898 |
NPI Enumeration Date: | 05/15/2013 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | 42917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |