Doctor Name: | DR. BYRON BLASDELL HARDER |
NPI Number: | 1518086180 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 5533 |
Business Practice Address: | 344054 Mcmillan Clemson University Clemson, SC - 296340001 |
Business Phone Number: | 8646562233 |
Business Fax Number: | 8646560760 |
Mailing Address: | 94 Crestwood Dr, CLEMSON |
State: | SC |
Postal Code: | 296311881 |
Phone Number: | 8646543138 |
Fax Number: | 8646560760 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |