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Tara Smith
Home Health Registered Nurse in Roebuck, South Carolina
NPI 1528750403

Tara Smith is a Home Health Registered Nurse based in Augusta, SC and is specialized in Home Health. Tara Smith practices in Roebuck, SC. The NPI Number for Tara Smith is 1528750403 and holds a License No. 28134485A (South Carolina).

The current practice location address for Tara Smith is 190 Independence Dr, Roebuck, SC and can be reached out via phone at 812-457-1738.

Location: 190 Independence Dr, Roebuck, SC, 30907-1258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528750403
Provider Name
Tara Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
190 Independence Dr, Roebuck, SC, 30907-1258
Phone Number
812-457-1738
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 Independence Dr
City
Roebuck
State
South Carolina
Zip
29376-3335
Phone Number
812-457-1738
Fax Number
person
Provider Business Mailing Address Details
Address
190 Independence Dr
City
Roebuck
State
South Carolina
Zip
29376-3335
Phone Number
812-457-1738
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
28134485A (Indiana)
Definition
Definition to come...
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