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Tamara Richardson
Family Nurse Practitioner in Landrum, South Carolina
NPI 1598335812

Tamara Richardson is a Family Nurse Practitioner based in Landrum, SC and is specialized in Family. Tamara Richardson practices in Landrum, SC. The NPI Number for Tamara Richardson is 1598335812 and holds a License No. 25144 (South Carolina).

The current practice location address for Tamara Richardson is 260 Fairwinds Rd, Landrum, SC and can be reached out via phone at 864-473-7058.

Location: 260 Fairwinds Rd, Landrum, SC, 29356-9075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598335812
Provider Name
Tamara Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
260 Fairwinds Rd, Landrum, SC, 29356-9075
Phone Number
864-473-7058
Fax Number
Provider Enumeration Date
06/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCK4925206 01 SC MEDICARE PIN
NP7641 05 SC
institution
Provider Business Practice Location Address Details
Address
260 Fairwinds Rd
City
Landrum
State
South Carolina
Zip
29356-9075
Phone Number
864-473-7058
Fax Number
person
Provider Business Mailing Address Details
Address
260 Fairwinds Rd
City
Landrum
State
South Carolina
Zip
29356-9075
Phone Number
864-473-7058
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
25144 (South Carolina)
Definition
Definition to come...
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