Healthcare Provider Details

I. General information

NPI: 1992633689
Provider Name (Legal Business Name): HARLIE ANNE CORCORAN EDDINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PLAZA CIR
SANTEE SC
29142-9630
US

IV. Provider business mailing address

150 PLAZA CIR
SANTEE SC
29142-9630
US

V. Phone/Fax

Practice location:
  • Phone: 803-860-3588
  • Fax: 803-973-6214
Mailing address:
  • Phone: 803-860-3588
  • Fax: 803-973-6214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number273374
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: