Provider Demographics
NPI:1528121795
Name:BEDNARSKI, HANIA B (DO)
Entity type:Individual
Prefix:DR
First Name:HANIA
Middle Name:B
Last Name:BEDNARSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 DOUG WHITE DR STE 430
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4182
Mailing Address - Country:US
Mailing Address - Phone:843-903-6459
Mailing Address - Fax:843-839-0218
Practice Address - Street 1:920 DOUG WHITE DR STE 430
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4182
Practice Address - Country:US
Practice Address - Phone:843-903-6459
Practice Address - Fax:843-839-0218
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC830472086S0122X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery