MEDICARE: DR. SUSAN J HARDESTY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	15472	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801904842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN J HARDESTY MD

Provider Business Mailing Address
First Line	:	411 LINKS XING S
Second Line	:
City	:	NINETY SIX
State	:	SC
Zip	:	29666-8798
Country	:	US
Telephone Number	:	843-327-0918
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 LINKS XING S
Second Line	:
City	:	NINETY SIX
State	:	SC
Zip	:	29666-8798
Country	:	US
Telephone Number	:	843-327-0918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	04/17/2018

Similar Medicare Providers

1669466074 — PATRICIA M VAUGHN-GOODMAN APRN
Practice Location Address:

103 LITTLE MOUNTAIN RD
NINETY SIX, SC
29666-9252

Practice Phone: 864-543-3515
Practice Fax: 864-543-2973

1629062955 — DR. ROBERT MICHAEL BRYANT MD
Practice Location Address:

103 LITTLE MOUNTAIN RD
NINETY SIX, SC
29666-9252

Practice Phone: 864-543-3515
Practice Fax: 864-543-2973

1740219732 — NINETY SIX PHARMACY, INC.
Practice Location Address:

206 N CAMBRIDGE ST
NINETY SIX, SC
29666-1011

Practice Phone: 864-543-2852
Practice Fax: 864-543-2982

1588684823 — GREENWOOD SCHOOL DISTRICT 52
Practice Location Address:

605 JOHNSTON RD
NINETY SIX, SC
29666-1417

Practice Phone: 864-543-3100
Practice Fax: 864-543-3704

1851420418 — ANDREW C OWINGS DMD PA
Practice Location Address:

321 N CAMBRIDGE STREET
NINETY SIX, SC
29666-1012

Practice Phone: 864-543-4109
Practice Fax: 864-549-3246

1013046689 — DR. ANDREW COLLIER OWINGS DMD
Practice Location Address:

321 NORTH CAMBRIDGE STREET
NINETY SIX, SC
29666

Practice Phone: 864-543-4109
Practice Fax: 864-543-3246

Directions to “ DR. SUSAN J HARDESTY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.