Provider Demographics
NPI:1528121795
Name:BEDNARSKI, HANIA B (DO, FACOS)
Entity type:Individual
Prefix:DR
First Name:HANIA
Middle Name:B
Last Name:BEDNARSKI
Suffix:
Gender:F
Credentials:DO, FACOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 LONDON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5799
Mailing Address - Country:US
Mailing Address - Phone:843-602-9884
Mailing Address - Fax:843-400-1494
Practice Address - Street 1:1110 LONDON ST STE 101
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5799
Practice Address - Country:US
Practice Address - Phone:843-602-9884
Practice Address - Fax:843-400-1494
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC83047208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery