MISS Hailey Vivona New, PA-C

NPI #1336825678 in Florence, South Carolina

Provider Information

NPI Number: 1336825678
Entity Type: Individual
Name: MISS Hailey Vivona New, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 22, 2023
Last Updated: Oct 24, 2024

Practice Location

Address: 1594 FREEDOM BLVD STE 102
City: Florence
State: South Carolina
ZIP Code: 29505-6046
Phone: (843) 679-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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