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Tiwarna Lanette Gallman, FNP
Family Nurse Practitioner in West Columbia, South Carolina
NPI 1205553138

Tiwarna Lanette Gallman is a Family Nurse Practitioner based in West Columbia, SC and is specialized in Family. Tiwarna Lanette Gallman practices in West Columbia, SC and has the professional credentials of FNP. The NPI Number for Tiwarna Lanette Gallman is 1205553138 and holds a License No. 26039 (South Carolina).

The current practice location address for Tiwarna Lanette Gallman is 2401 Sunset Blvd, West Columbia, SC and can be reached out via phone at 803-271-3944.

Location: 2401 Sunset Blvd, West Columbia, SC, 29169-4717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205553138
Provider Name
Tiwarna Lanette Gallman
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2401 Sunset Blvd, West Columbia, SC, 29169-4717
Phone Number
803-271-3944
Fax Number
Provider Enumeration Date
10/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-4717
Phone Number
803-271-3944
Fax Number
person
Provider Business Mailing Address Details
Address
2401 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-4717
Phone Number
803-271-3944
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26039 (South Carolina)
Definition
Definition to come...
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