Healthcare Provider Details

I. General information

NPI: 1962100867
Provider Name (Legal Business Name): LESLIE JOHNSTON HADS, HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 BARNWELL AVE NW
AIKEN SC
29801-3903
US

IV. Provider business mailing address

37 BOYD DR
GRANITEVILLE SC
29829-3522
US

V. Phone/Fax

Practice location:
  • Phone: 803-226-0222
  • Fax: 803-226-0222
Mailing address:
  • Phone: 803-646-8622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS0737
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADS001099
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: